<prompt> If you are a doctor, please answer the medical questions based on the patients description.in night after sleep i wake up after 12-1 hour n feel in both arms after that gastric problem n den feel like some suffocation some time i get relief by aciloc 150 mg some time remains for 12- 1 hr i also suffering from hernia heart shown mild enlarged as per echo pl suggest d treatment  <response>: Your symptoms and signs are due to anxiety and neurosis and there doesnt seem to be any serious medical problems I would suggest doing some biofeedback and a regular exercises also for gastric problems that you should not eat the 3 to 4 hours before you go to sleep I would also recommend not to take any medications I should be corrected the naturally. Your normal echocardiogram confirmed that you do not have any medical problems on her heart problems signed a doctor but its in thank you 