Conversation: The conversation between human and AI assistant.
[|Human|] Hello, my symptom is electrical pain suddenly starting in my elbows, then radiating up to my chest, then my chest gets tight feeling and i feel breathing deeply helps it go away. This usually last around 30 seconds then goes away. This sometimes does not happen for months, but then sometimes it happens only a few days apart. This has been happening periodically over the past year to year in a half.
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you're these symptoms are suggestive of either calcium or vitamin B 12 deficiencies.  But since it is associated with chest symptoms we need to rule out cardiac cause first.  So get done ECG to rule out this. If ECG is normal than get done ionized calcium and it b 12 level. And if deficiency is present we have to treat it. Oral supplements are usually sufficient but in severe deficiency, injectable supplements are needed.