Conversation: The conversation between human and AI assistant.
[|Human|] I have been hurting in my chest for about a month now. I have been taking Prilosec and Pepcid Complete. It usually knocks the edge off. I can lay down and the pain goes away after 30 mins. Thursday I hurt all day and nothing would help. Was getting cold sweats, feeling dizzy and short of breath so I went to the ER. Ekg was normal blood test were normal. Tropinin test was .05 ng. They said my chest xrays were good and lungs and heart sounded good. They gave me protonixs through an IV, 4 Childrens aspirin and they said a GI cocktail, and oxygen. Said it was really bad acid reflux. Which I was glad but this stuff is no joke. I was given a script for protonix 40 mg to take 2xs a day for 7 days then once daily after. I have had some major diarheria and still some pain at times in chest. But alot of the time I feel like I am smothering it comes and goes. Is this normal? If so how long will it last and what can I do to help stop it. Can be scary at times.
[|AI|]  Hello, Brief answer: Your complaint is a variant of anginal pain. Explanation: My opinion is that negative troponin level and normal EKG is not enough to exclude an ischemic heart disease. A HERD you say you have may also lead to that symptom, but first you should work up ischemia panel. I suggest my patients the following: Do some stress testing like treadmill testing to exclude ischemic heart disease and work on risk factors if any exist as diabetes, smoking, hypertension, obesity, etc. The information provided by you is not sufficient to provide a good opinion. Conclusion: I suggest you check with your cardiology doctor for risk assessment and if needed to do other investigations meanwhile, continue on your medications and avoid foods like spicy or salty. Hope I have answered your query. Let me know if I can assist you further.