Conversation: The conversation between human and AI assistant.
[|Human|] I have been feeling more tired than normal for about three weeks, not feeling right sot sick but I cant explain it. over the last week or so I get chest pain on my left side above my breast now as of last night Im dizzy. I woke up feeling a little sick to my stomach and the room was spinning. It seemed to stop after I sat up for awhile but now I have been up for 40 min and the room is not spinning but I feel dizzy.
[|AI|]  Hi thanks for contacting Chat Doctor.... First get your ear examination for searching cause for vertigo.... For that endoscopy examination and pure tone audiometry examination done.... It might help in revealing labyrinthine and vestibular neuritis if present.... The cause can be benign positional vertigo for which repays maneuver needed... Also rule out deniers disease.... Second rule out left ventricular failure like cause if positive cardiac history and hypertension with suggestive symptoms...ECG or echo useful .... Proper neurological examination done to reveal central cause. If needed CT scan done.... If skipped meal and irregular diet then by hypoglycemia it can occur.... Vestibular sedative like betahistine might be useful.... For more complex case cognitive behavioral therapy needed. Keeping this in mind consult physician and proper examination done with detail investigation. Take care....