<s>[INST] Hi my name is Evan. For the last month I have had a problem with reflux. My diet is not good lots of fatty foods, acidic drinks. I started a new job last week and have till today have had a tearing feeling in middle of my chest as well as everynow pains in arms or legs. I do have a history of hypochrondria and anxiety. Could my worrying about my reflux condition and stress of new job cause this feeling in my chest. I have been tested this week and my blood pressure is normal. Please help I am worried as it is near my left breast and worried about my heart. I also feel pressure on my chest when I lay down or in the night. [/INST] Hello, Thanks for the query to Chat Doctor. Forum. I would come up with these possibilities and measures for these symptoms, This includes.1 The first possibility is of hyper acidity (gastritis) , diagnosis can be confirmed by upper G I endoscopy. Try raising the head of your bed about 4 inches with blocks. It might also help to avoid eating or Chat Doctor. To help control the stomach acid one should not  </s>