Conversation: The conversation between human and AI assistant.
[|Human|] I have got a dull aching pain in my chest along with a nausious feeling in my throat. I feel spaced out and weak. I have been to A&E for an ecg and the results were fine, but my heart rate was a little fast and blood pressure was a little high. They put this down to the anxiety and panic of A&E. They did blood tests for thiroid funcion. I am still worried that this is a serious illness. Im a 24 year old smoking male.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are smoker and having slightly elevated heart rate and blood pressure, better to get done 2d echo and stress test (trade mill test) to rule out heart diseases. If both these are normal than no need to worry about heart diseases. Smokers are known to have gastritis and acid reflux. Both of these cause nausea and central chest pain. So first quit smoking as soon as possible. It is the main cause for your symptoms. Then take proton pump inhibitors for gastritis. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.