Conversation: The conversation between human and AI assistant.
[|Human|] I am 53 years old, and today had a glass of alcohol, rum and coke this was not a high content of alcohol I usually i ask for it to be filled more with coke, but occasionally over the past 5 or so years, when there have been celebrations - christmas, or have been out and had a drink (I am a low alcohol drinker - way lower than what is acceptable for women) I have got a tight feeling in the chest, and I have to relax for a few minutes or lay down for it to go.  My mother has had angina since her 40s, and is now 87.  Also I have recently ( a year ago ) been dignosed with clinical Hypothyroidism for which i am on 100 mg of Thyroxine, and feel much better for taking it.  I had put these tight feelings down to indigestion originally, but alarm bells are ringing, should i go see my dr. as even if i had a ecg unless it was happening at the time how would this be diagnosed?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult your doctor and get done ECG, 2d echo and stress test to rule out heart diseases. You are taking alcohol and have positive family history of heart disease, so we should first rule out heart diseases. If all these are normal then no need to worry about heart diseases. Possibility of HERD is also there. Alcohol ingestion can cause laxity in lower esophageal sphincter. And this causes reflux and Chest tightness. So better to quit alcohol and take proton pump inhibitors and prokinetic Chat Doctor.  Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.