Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have been experiencing a stinging like pain in the area of where my heart is for a while on and off and recently it has been happening more often throughout the day.  It can come at any time, eg when driving, cooking or just watching tv? Was wondering if should go to the doctors? I have low blood pressure. Thank you.
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! I read your question carefully and understand your concern. It is important to perform a differential diagnosis between different causes of chest pain related to the heart, chest, muscles, soft tissues, bones, gastroesophageal junction etc. Is this pain triggered by respiration or body movements? This would indicate a muscle skeletal pain. What are your heart rhythm values? How long does this feeling go on? I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest X-ray study and some blood lab tests (complete blood count, PCR, sedimentation rate, kidney and liver function tests, blood electrolytes, etc.). A fibrogastroscopy may be needed to exclude possible gastroesophageal reflux, is suspicions are raised. If all the above-mentioned tests result normal, you should take into consideration anxiety as a possible cause of these troubles. Hope to have been helpful! Greetings!