Conversation: The conversation between human and AI assistant.
[|Human|] Hi Im not having chest pain or shortness of breath at all.  But Ive become paranoid about heart disease as it runs in our family history.  I have muscle fatigue especially around the shoulders and have not been sleeping well.  I see a massage therapist at least 1 -2 times a month.  I weight 260 lbs and am 38 yrs old.  I alos have IBS.  Since yesterday I have been having bouts of diarherra an am concerned its heart related.  Please tell me its not my heart.  I took my blood pres and it is 120/81 pulse is 85.
[|AI|]  Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. IBS is a condition in which patient have changing bowel habit like sometime have diarrhea n some time have constipation...fatigue n muscle cramps u having is mostly due to electrolytes problem as u having diarrhea which may lead to loss of electrolytes n result having such features,if u are my patient I would like to do electrolytes test n TX it accordingly.for severe cramps u take OTC analgesic like acetaminophen.family history of heart disease make patient pine to heart disease, but it is NT necessarily that u having or will have that disease in the future, thee symptoms are very much suggestive of electrolytes prob n u donor worry about the heart ... I hope this answered your question, if you have more feel free to ask. Regards.