Conversation: The conversation between human and AI assistant.
[|Human|] good morning doctor, I am 63 year old man. My problem is I got a chest pain as I urinate. I have a little burn during urination and more severely the chest pain. My urine is charged with E. coli so I am taking Nitrofurantoin for a week. My doctor suspect me with Prostate enlargement. So I am having PSA test with tumor marker as 69.7 ng/ml and tumor gland 27 gm ( via CT scan). DO i Need to go for surgery or chemotherapy. what is the reason behind my chest pain??? Please suggest me.
[|AI|]  Brief Answer:You should go under prostate biopsy. You should be visited by a cardiologist. Detailed Answer:Dear Sir, Thank you for using Chat Doctor. Now that you have detected this problem, you need to face and follow the diagnostic and treatment steps one by one. So first, you have to do the prostate biopsy, which is needed to make a sure diagnosis. Depending on its response you will consult with the oncologist (if it results to be a malign tumor) or urologist (if it is a benign enlargement of prostate). Regarding your chest pain, it may be caused by low blood pressure, and reflector tachycardia (high heart rate) stimulated by such actions such as urination, defecation, the change of the position etc.Also, the burn and difficulty on urination may cause tachycardia and chest pain.Nevertheless, you need to see a cardiologist to exclude more serious causes. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind