Conversation: The conversation between human and AI assistant.
[|Human|] i woke up last nite with a pain in the middle of my chest it comes and goes every minute sharp pain , wasnt sure if its due to my coughing i have for the past week, should i go to er . i have no other symptoms. im 47 years old female... never had this before and cant explain it . it feels like i had something stuck in my chest but its consistent every minute it keeps coming
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. At your age of 47 years (premenopausal), every chest pain should be evaluated for heart diseases first. Heart diseases are common in this age because of hormonal imbalance (low estrogen). So first get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes HERD (gastroesophageal reflux disease) can also cause similar kind of central chest pain. So take proton pump inhibitor like pantoprazole.  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.