instruction: hello doctor I am feeling bloated gas in the stomach heaviness in the chest feeling that there is phlegm in the throat when burping or belching I felt relieved and fine but after a while the above symptoms appear again I am a 60 year old female with hypertension and I am currently taking twynsta 40 10 bisoprolol my
output: hello I guess you are on twynsta 40 10 which is a combination of telmisartan and amlodipine and bisoprolol my so this is likely a gastric and reflux problem however sometimes symptoms of gastritis and heart disease overlap in elders with such symptoms electrocardiography egg is recommended meanwhile you should have antacids along with your current medications like tablet pantoprazole der 40 my or rabeprazole der 20 my before breakfast once daily for a week and later whenever needed you should also avoid heavy meals have less oily spicy and fatty foods have a walk for sometime after meals rather than resting immediately have light dinner if you are having constipation then you should get it treated with laxatives like syearup cremaffin plus regular sleep is also important I hope this helps