Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You need to have regular consultation with your cardiologist and take all medications prescribed without fail. Chest pain may be due to gastritis. You need to follow some tips 1. Do not eat spicy food 2. Take medications for gastritis- Pantop/Omez/Rantac 3. Take little food at frequent intervals. Breakfast around 8 am a small snack at 11 am, lunch at 1 pm, a small snack at 4 pm and dinner at 8 pm 4. Drink plenty of water 5. Do not smoke, take alcohol or tobacco and even excess of coffee and tea 6. Do not take much of stress. Stress aggravates gastritis 7. Do regular exercise. At least half an hour per day 8. Learn meditation techniques 9. Follow this regularly for 21 days. It is said that anything you practice regularly for 21 days becomes a habit For a migraine follow this. Some of the factors that trigger migraine headaches are: 1. Allergies and allergic reactions 2. Bright lights, loud noises, flickering lights, smoky rooms, temperature changes, strong smells and certain odors or perfumes 3. Physical or emotional stress, tension, anxiety, depression, excitement 4. Physical triggers such as tiredness, jet lag, exercise 5. Changes in sleep patterns or irregular sleep 6. Smoking or exposure to smoke 7. Skipping meals or fasting causing low blood sugar 8. Dehydration 9. Alcohol 10. Hormonal triggers such as menstrual cycle fluctuations, birth control pills, menopause 11. Tension headaches 12. Foods containing Tyramine (red wine, aged cheese, smoked fish, chicken livers, figs, and some beans), monosodium glutamate (MSG), or nitrates (like bacon, hot dogs, and salami) 13. Other foods such as chocolate, nuts, peanut butter, avocado, banana, citrus, onions, dairy products and fermented or pickled foods 14. Medication such as sleeping tablets, the contraceptive pill, hormone replacement therapy. Treatments for migraines. Some lifestyle alterations might help reduce migraine frequency. These include 1. Getting enough sleep 2. Reducing stress 3. Drinking plenty of water 4. Avoiding certain foods 5. Regular physical exercise. Migraine treatment (abortive therapies) and prevention (prophylactic therapies) focus on avoiding triggers, controlling symptoms and taking medicines. A migraine is mainly treated by giving Paracetamol tablets. If the pain does not subside other medications may be tried. Other prescription medications used to relieve the pain of a migraine include the triptans, for example, 1. Sumatriptan (Imitrex, Alsuma, Imitrex STATdose System, Sumavel DosePro, Zecuity, Treximet) 2. Rizatriptan (Maxalt, Maxalt-MLT) 3. Eletriptan (Relpax) 4. Zolmitriptan (Zomig, Zomig-ZMT) 5. Naratriptan Amerge) 6. Almotriptan (Axert), and 7. Frovatriptan (Frova). Preventive measures • Go to bed and wake up at the same time. • Exercise: regular exercising improves the quality of sleep and reduces the frequency and severity of migraine headaches. • Avoiding prolonged fasting and not skipping meals. • Limit caffeine intake to two cups/day. • Avoid bright light, can wear sunglasses to avoid the trigger of sunlight. • Identify what food causes a migraine and avoid it. • stress-management training. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sanjay Kini