Conversation: The conversation between human and AI assistant.
[|Human|] Im a 39 yo male, within the last hour I have had what seemed likea crushing cgest pain on my left side, which went to the left upper part of my shouder and midway of my neck. No other symptoms other then I had passed some gas about five minutes after the second time the pain occured.
[|AI|]  Hi thanks for contacting Chat Doctor.... As You have mentioned gas as adjoining symptom, so chronic constipation also can be there leading chest pain.... But dear first according to this history, ischemic heart disease like angina or MI ruled out by ......1. Blood pressure checking 2.EKG 3.ECHO 4. Cardiac enzymes' estimation if needed Than is MI there, angiography can be done and if needed angioplasty or thrombolytic therapy done .... For angina arbitrate like Chat Doctor. . If no cardiac cause present than treatment for constipation done by stool laxative ex.Dulcolax tablets .... More water taken ... Take care ... Consult physician for this . Hope I have solved your concern.....