Conversation: The conversation between human and AI assistant.
[|Human|] Hi, Im 21 years old, and Im fit, active, and in pretty good shape.  Last week, usually in the evening hours, I would get a really sharp pain in my chest lasting around 30 seconds.  It felt as though someone stabbed me and was twisting, I had to stop what I was doing, stop breathing and calm myself in order to try to relax until it went away.  I had this problem probably 4 days in a row, and now this week, every time I bend over I get an immediate sharp pain in my heart region and I have to become erect as quick as possible.  Is this my health, or what could the problem be, Im starting to become highly concerned.  Thanks for any help you can probide!   (Also, Im 52, 140lbs, 21yrs, and no medicaly problems except IBS)
[|AI|]  Hi welcome to the Chat Doctor At such a young age cardiac problem seem less likely but still before reaching to other diagnosis it is better to do following work up to exclude cardiac causes like..... -Auscultation -Tread mill-EKG -Echo only if needed after EKG finding If no cardiac causes present than sometime such pain could be muscular pain from excess exercise (at such a young age by excess Jim!), bad sleep posture or stress related.... So according to cause specific treatment planned.... Meanwhile, avoid strenuous work and sleep in proper supine position... Avoid smoking if habit Take care Consult physician for examination with keeping all this in mind