Conversation: The conversation between human and AI assistant.
[|Human|] HI I am a 41 yr old female.  Ive been dealing with some chest pains and shortness of breath for the past 3 monthe.  Two days ago something new has started.  Under my left breast I am having a fluttering sensation.  It doesnt last long but is happening more often.  This is in the same spot where I used to feel a sharp pain.  Now it is a burning pain, sometimes and the flutters have started.  Is this heart related or could it be muscle spasmsS
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. You are having chest pain and breathing difficulty since long (3 months). New symptom is fluttering sensations. So we should definitely rule out heart diseases (arrhythmia - rhythm disturbances in heart) first. So get done blood pressure monitoring, ECG, 2d echo, stress test and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes muscular twitching can also cause similar symptoms. So apply warm water pad on affected areas. Take muscle relaxant Chat Doctor.  Don't worry, you will be alright with all these. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.