<s>[INST] Hi, recently I started having chest pains in the evening. it is not constant but feels like a wave right at the center of my chest. Im 32 years old non smoker and rarely drinks, recently i changed my diet to include more fruits and legumes. Also I drink tea without sugar or milk. Do i need to worry about this pain. I am currently taking ibrumofen before going to bed which drastically reduces the pain but i would like to eradicate it completely [/INST] Hello, You are having chest pain in center field. Hence, gastritis like cause has to be ruled out as it can lead referred pain in the chest. For that pantoprazole can be prescribed for a week. Avoid excess spicy foods and fatty meals. Avoid stress, smoking, excess tea, coffee-like gastric irritants. If gastritis not improving investigate with a urea breath test for rule out h. Pylori. If any respiratory symptom like cough, fever, dyspnea present, then a chest x-ray is done for that. Consult pulmonologist or physician for examination and further workup accordingly. Hope I have answered your query. Let me know if I can assist you further.   </s>