<s>[INST] I need to give you a little history.  On holidays left home last week driving 10 hrs first day.  Started off good then winded up with very uncomfortable pain on my left side which radiated to below my rib age .  Tylenol didnt work neither did bengay.  Ended up with a very flush face that night and prickly heat.  The ache wasnt as severe on the right sideSleeping was no problem.  This continued for the next 4 days.  Good in the morning and as soon as I started walking it became unbearable.  Bengay seem to help.  Lots of belching going on as well.  Got to our destination and went for a massage.  There were definitely some knots that needing working on.  I was still sore walking so taking it easy.  As was the case no problem sleeping and woke up feeling good.  I didnt have to use the bengay till last night the pain in my upper right shoulder  to my spine I had excruciating pain lying down walking didnt matter.  It felt like a vice being squeezed on my upper right side.  We applied the bengay but it wasnt doing its magic at all.  Sharp twinges into my abdomen.   When I get that pain its usually on my leftside.  It seem to go downhill after having a hamburger for supper.  I took some tums.  Kind of helped.  Not such a good day today . Woke up with pain.  Havent a clue whats going on.  My temp is ok 99.  As I type this its easing up again.  Who knows it might disappear again.  That excrutiating pain I was talking about is a familiar pAin to me.  But comming more often  Thanks Denise [/INST] Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having mostly HERD (gastroesophageal reflux disease). But better to rule out cardiac cause first. So get done ECG and 2d echo to rule out cardiac cause. If both are normal then no need to worry about cardiac cause. HERD is more in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Stress is the common worsening factor for HERD. So try to follow these lifestyle modifications along with Chat Doctor.  1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. 7. Lose weight if you are obese. 8. Avoid smoking and alcohol if you have these habits. Don't worry, you will be alright. </s>