You are very correct, as described in the previously linked Stack Exchange 
answer,  
<https://serverfault.com/questions/873497/502-connection-refused-while-connecting-to-upstream-modify-nginx-upstream-on-g>nginx
 
health checks are indeed the same health checks that are configurable via 
your app.yaml file 
<https://cloud.google.com/appengine/docs/flexible/nodejs/configuring-your-app-with-app-yaml#health_checks>.
 
 

To clarify, each App Engine instance has its own nginx container running in 
it that monitors the health of its own instance. So starting more instances 
will not fix the issue for any single instance. As mentioned in the 
solutions provided in the previously linked Public Issue Tracker 
<https://b.corp.google.com/issues/36081250>, you could instead try 
increasing your instances' Resource Settings 
<https://cloud.google.com/appengine/docs/flexible/nodejs/configuring-your-app-with-app-yaml#resource-settings>
 to 
make them more powerful. By increasing an instance's CPU, you are allowing 
your application code to finish faster, and in turn allow it to respond to 
nginx faster. 

Though as mentioned in the same Public Issue Tracker this is not the actual 
solution, and the solution is to code your application to handle async 
requests 
<https://blog.risingstack.com/node-hero-async-programming-in-node-js/>. By 
allowing a single instance to handle more than one request at a time, you 
are freeing up CPU time for health checks. Of course you can always 
completely turn off the nginx health checks 
<https://cloud.google.com/appengine/docs/flexible/nodejs/configuring-your-app-with-app-yaml#health_checks>,
 
but ideally you want to code your application for the Cloud to make it 
scalable and responsive. 

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  • [google-appengine]... Marco Galassi
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