Conversation: The conversation between human and AI assistant.
[|Human|] Every time i stand up (normal speed) my chest/heart hurt for about 30 seconds to a min an its hard to breathe. Also i get light headed and lose vision for about 20 seconds and get close to blacking out while my eyes are open. Im anemic, could it just be that? Or what is causing this?
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, your symptoms are very suggestive of orthostatic hypotension. A chronic anemia can exacerbate this condition. I recommend you to closely monitor your blood pressure in sitting and standing up position. A decrease more than 20 mm Hg in your systolic blood pressure in standing up position, compared to sitting position would be indicative of an orthostatic hypotension. A head up tilt test would be necessary to confirm the diagnosis. Some blood lab tests (complete blood count, kidney and liver function tests, blood electrolytes, fasting glucose, etc.) are needed to exclude other metabolic causes. Meanwhile, I recommend taking plenty of fluids to avoid deny Chat Doctor.  Hope to have been helpful! Greetings!