Conversation: The conversation between human and AI assistant.
[|Human|] Hello, my mum who is 42 years of age and 4ft 11, has just started suffering with chest pains. she explains its quite hard to swallow and breathe. She looks very uncomfortable, and has now become very emotional. She suffers with lupus and arthritis. Would you have any idea why these chest pains have occured? Could it be stress? Or something more serious? thankyou. Kerry.
[|AI|]  Hello and thank you for asking. In the situation of your mother that she suffer from lupus and arthritis the doctor should be very careful with the complaints she has. Difficulty in swallowing might be one of the complication of the lupus diseases. For the chest pain and the difficulty in breathing it would be better to do a chest X-ray, Spirometry with DCO in order to see if the lung tissue is compromised. So I think that a reconsultation with the rheumatologist specialist should be done. Thank you Chat Doctor.