Hi am am 57 year old female and was diagnosed with Costrocondritis by my Gastro Dr, however, I dont know if it is acid reflux or the costocondritis that is giving me the problems my sternum hurts so bad that even the advil doesnt help, so I use heat, but I even have a problem swallowing my food because of the pain in my chest Im confused as to which one I should treat first
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). You are not improving with Advil (ibuprofen - painkiller), so Costco Chat Doctor.  You are also having difficulty in swallowing. This also suggest possibility of HERD more. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Take antacid like pantoprazole on empty stomach. 5. Quit smoking and Alcohol if you have these habits. 6. Keep 2-3 pillows under head in bed to prevent reflux. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.