Conversation: The conversation between human and AI assistant.
[|Human|] Hello...I had 5 bypass in 11/12/2010....but Im still doing the feeling the same way as I did before the surgery...I was having chest pain and shortness of breath and tried all of the timebefpre the surgery...and im still doing it now...could there be another blockage or one that didnt take
[|AI|]  Hello, What kind of chest pain, is it at rest or on exertion? How much is your ejection fraction?  Yes, we can't rule out the possibility of another blockages developing. Your shortness of breath may be cardiac dysfunction which can be known from echo. So if you need evaluation for the cause.  Also, medicines need to be optimized so let me the know the list of entire medicines which you are having, so I can adjust.  You can have Tab Arbitrate 5 mg sublingual and see if there is any relief of pain. If your ejection fraction is low then it's better to restrict fluid intake to relieve shortness of breath.  Hope this helps you and get back if you have any questions.