Conversation: The conversation between human and AI assistant.
[|Human|] hey doc i have middle chest pains and sometimes they go to the right and left, when inhaling and like theres something hurting in my throat. Sometimes I feel like something going down my throat without doing nothing at all. When I wake up i feel severe pains in the lower right back and sometimes I cant come out of bed. When I swallow I feel like my middle chest hurts. Im a 22 and Im a heavy smoker, although now quitting slowly using chantix. thanks doc !
[|AI|]  HAI.this type of chest pain can mimic many things like acute gastritis, cough with bronchitis, cardiac related, lung related like pleuritic pain, esophageal induced coronary spasms. Being a smoker u have all possibilities of these problems. Please go ahead with a chest X-ray, ECG, upper gastrointestinal endoscopy, sugar levels, blood pressure check up.u can take a course of PPI(proton pump inhibitors) like pantoprazole added with antacids as a course for 3 weeks. Take care good luck