Conversation: The conversation between human and AI assistant.
[|Human|] hi, doc! just want to ask regarding my wife having constant back pain below her shoulder on both sides. she was diagnosed with enlargement of the heart and i forgot the term the doctor used but it was like a vessel of her heart is getting smaller hole due to blocking the inside wall of her vessel. and recently she was working some chores her in the house and felt too much fatigue that she couldnt even stand alone just this morning. but now she still felt the backpain and fatigue that bothers her. Thanks and best regards, ranier
[|AI|]  Dear patient your wife is suffering from coronary heart disease and heart failure which leads to less pumping of blood into muscles. Muscles require enough amount of blood and oxygen to function which they get from heart. In cardiac failure less amount of blood reaches back and leg muscle and hence they cannot perform proper function and results in fatigue and pain. You should take her to expert cardiologist and get properly investigated and examined. Proper treatment of heart failure will give her muscle strength and pain and fatigue will disappear.