<s>[INST] I have numerous lumps in the epigastric area of my stomach, I have bloating and nausea. I also have this feeling that is in the center of my chest that feels like pressure into the back until I feel like I cant breathe. When this happens I feel uncomfortable sitting. I have not gained weight but have gained mass. I feel best if I don t eat but then feel starving. When I eat even a little or have a cup of tea it can start back up. Im 5 8 and now up to about 200 lbs. While I know I need to lose weight but would this all be from just being fat? and how do people stand it. I am at my wits end [/INST] HiThanks for your query.Based on your query, my opinion is1. The lumps on your abdomen in epigastric region are probably just subcutaneous fatty tissue being prominent or lipoma. 2. Your weight is on the higher side, which is causing this.3. Chest and abdominal discomfort is due to gastritis or GERD ( gastro esophageal reflux disorder) as the gastro esophageal reflux will be more in obese individuals causing chest pain/ discomfort.4. Do not lie down immediately after having food.Try to reduce weight as obesity is the cause of most of your problems and in the long term it can lead to hypertension/ diabetes/ cardiovascular diseases.5. Have a healthy lifestyle, make dietary changes. Hope this helpsRegards </s>