Conversation: The conversation between human and AI assistant.
[|Human|] Hello, My Name is Trudy. I had a operation in early August [ Genealogical ]since then i have been getting these pains that feel like they are at the bottom of my ribs. They leave me short of breath and they are really intense after eating. They almost feel like electric shocks and at its worse it feels like its a rush of pain that goes up into my chest. I cnt take deep breaths in as that makes it worse. I have woken with the pain a few times. I seem to get this pain every second or third day. Today i just feel sick . Like i need to be sick.. Having the pain has also put me off eating. When i have the pain i really clench my chest and under my ribs as it hurts so much.. Please if you can help with an idea of what this could be as its a pain i have not felt before. Regards Trudy.
[|AI|]  Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Ongoing Myocardial ischemia leading to evolving stroke in the brain. I advise you to get an ECG,2D Echo of your heart, lipid profile, hsCRP, CT brain immediately to confirm the diagnosis. Monitor your blood pressure, heart rate immediately. Chat Doctor. Avoid stress and anxiety. Avoid fatty foods, smoking and alcohol. I also advise you to get your BMI measured and reduce weight if you are obese. Also Exercise daily for 30 min. Coronary angiogram with or without stenting will be the procedure of choice. Consult your cardiologist for expert management and follow up. Post your further queries if any, Thank you