Conversation: The conversation between human and AI assistant.
[|Human|] I am a pretty healthy 71 year old female. I weigh -28 lbs. and am 5 3 tall. I had what I think was an oesophagus severe spasm. The pain was so severe that it caused me to faint, twice in a period of 15 minutes. Paramedics found no pulse when they came, but I came to soon after that. An EKG was done; I was taken to the emergency room: another one was done. No heart problem was diagnoses. I have trouble swallowing large pills. I have experienced the cramping again, but not as severe. They discovered a severe stomach infection which the doctor thinks might not be related. Eosinophilic Esophagitis was also found in esophagus biopsy. They still do not know what caused fainting. No acid was found by Bravo monitor. I have coughing spells at night. What do you think?
[|AI|]  Dear I can understand your concern. I would like to inform you that severe pain is very important and common cause of vasovagal syncope that is transient loss of consciousness with full recovery within seconds without any residual weakness. It may cause transient decreased pulse rate or complete loss of pulse and normal immediately after some time as you lay down supine. No need to worry about this. You can think that it was related to your severe pain only and will not happen again if your pain is managed adequately. As you have mentioned complete cardiac work up was normal. This is also suggestive of this clinical entity. Hope this will help.  If you have any other concerns please feel free to message me.  Thanks for contacting Chat Doctor.