Conversation: The conversation between human and AI assistant.
[|Human|] Hi my brother is 20, about 5 5 and naturally slim. He suffers from extreme spells where he loses his breath and has chest pains. He is having blood and glucose tests done to see if it could be insulinoma but the hospital so far have not been very informative or helpful. The past 3 nights he has had bad nightmares, woken up drenched in sweat and with a pounding heart. This morning he woke to find bruises on both of his eye lids. Any suggestions you can offer are greatly appreciated.
[|AI|]  Respected user, hi I evaluated your query thoroughly.* Systemic disorder is present need to be evaluated either purely somatic or psychosomatic (more likely) in nature.* He needs intensive evaluation in the form of thorough history, physical examination, necessary reports ranging from Laboratory parameters, X-ray chest, Pulmonary function test, CT / MRI brain according to the clinician's judgement & then figure out the management plan accordingly. Hope this helps you. Welcome for any further assistance. Wishing him fine recovery from the same. Thanks for using Chat Doctor .com & reviewing my answer. Regards dear take care.