<human>: I have experienced many life changes in the last year and have been having pains in my stomach and chest area. I am going to the doctor tomorrow but until I took this stress test I did not realize how many thing had happened this year. Can all this be Psychosomatic?
<bot>: Hello! I read carefully your query. The symptoms you describe (stomach and chest pains) might be related to:-Heart disease. When a patient present to me with chest pain/stomach pain the first thing I try to rule out are life-threatening conditions(such as heart disease). You should run some tests in order to exclude this possibility such as :-ECG, Stress test, Heart ultrasound.-Gastroesophageal reflux disease (HERD), Peptic ulcer disease or Hiatal hernia. In these conditions the pain is worse after meals and during night. The diagnoses can be confirmed by upper GI endoscopy. In these cases eating small meals, avoiding spicy or greasy foods, raising the head of your bed and taking antacids can help to relieve the symptoms. If the symptoms are severe you may need PPI Chat Doctor. -If heart conditions, GERD, Peptic ulcer disease, Hiatal hernia are excluded by investigation then it is possible that your symptoms are due to stress and anxiety. I suggest consulting a physician and get examined in order to determine the right cause of your symptoms. Hope my answer has helped. Take care.