Conversation: The conversation between human and AI assistant.
[|Human|] I have been seen in the emergency rooms a few times for what I thought were cardiac episodes.  each time I was checked out and told that it was acid reflux that was causing the symptoms and sent on my way.  The last two-three days I have felt shooting pains in left arm, shoulder and chest.  My breathing is really heavy and I feel nauseous, could this all be from really bad gas? I am 31
[|AI|]  Hello, If you had similar complaints in the past, many a time, and you have been evaluated completely by cardiologist with an ECG and echo, and if they were normal, then yes it could have been acid reflux which is causing the symptoms for you (sometimes the symptoms are not typical of the condition - like yours which is atypical), hence if you continue to have the symptoms, since how long? Check if they are related to food intake, any specific kind of foods (such as spicy, fatty, coffee, tea, alcohol, smoking) that are causing the symptoms, and please consult your Gastroenterologist and get yourself evaluated and get an upper GI endoscopy and treatment can be given by your doctor Depending on the findings. Hope I could help you. Thank you.