Conversation: The conversation between human and AI assistant.
[|Human|] my brother-in-law is having a flushed tingling feeling in his chest. He does have a history of vavle replacement and bipass but keeps a regular check on it. And is on coumadin and blood pressure meds. His blood pressure is good and to low when this is occuring.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your brother-in-law s situation and problem. Since he is known case of valvular heart disease and bypass surgery, possibility of heart related diseases like arrhythmia is more. Arrhythmia can cause flushed tingling sensations in chest. He is also having low blood pressure while symptoms. This is also favoring arrhythmia more. So better to get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring) to rule out arrhythmia. If all these are normal than no need to worry arrhythmia. Sometimes gastritis can cause similar symptoms. So ask him to take proton pump inhibitors. Don't worry, he will be alright, but better to first rule out arrhythmia. Hope I have solved your query. Wishing good health to him. Thanks.