Conversation: The conversation between human and AI assistant.
[|Human|] My Haemoglobin is going down. Sometimes, I feel dizzy and I lose balance getting out of the bed or car. Today, I walked for 20 minutes. 5 minutes into the walk, my chest started to hurt, felt dizzy but continued to walk. My chest x-ray was taken about 6 months ago and EKG was done 2 months ago. BotChatDoctore negative. What could it be?
[|AI|]  Hello, Thanks for the query to Chat Doctor. Forum. Dizziness, chest hurt, loosing balance, hemoglobin low, chest X-ray & E K G normal (but 6 months the report were normal) . The main cause of all symptoms are anemia, diagnosis can be confirmed by physical examination by a physician. Now question is, why hemoglobin level is so low, however there are so many reasons, and it is very difficult to assess the exact reason without complete history of illness. May be, Hemorrhage (excessive, if female patient), hemorrhoids, renal failure, worm infestation. Get in blood (peripheral blood film) for blood disorder. Urine for U TI, stool examination for occult blood etc. In my opinion consult a physician and get his opinion. Good luck.