Conversation: The conversation between human and AI assistant.
[|Human|] I am getting occasional little pulsing pains above my sternum both left and having a constant feeling of uneasiness, sometimes unable to sleep and get dizzy then wake up suddenly! I am pretty sure I am experiencing anxiety for the first time as I always seem to be worrying at the moment about everything, thinking the worst etc?? I am healthy, cycle around 30km daily. Aged 38, male
[|AI|]  Thanks for your question on Chat Doctor. In my opinion it is anxiety related only. But since it is pulsating feeling and on left we need to rule out cardiac cause first. So get done ECG to rule out heart problem. If ITIS normal than mostly it is due to anxiety only. Better to avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. You may need anxiolytic Chat Doctor.