Conversation: The conversation between human and AI assistant.
[|Human|] hi i been geting pains the stumic and shakes and a week ago i got a haert pain but it got so bad it went to the doctor he told me haert pain was just stress and i told him about the other things i am geting as well  for sometime now but i am not stressed i am a Epileptic i take tegretol but i have not had a sesher for a very long time what do use think if you can help it would be good becouse the shakes and the other thing are still happening dont think thay will go away with out help!!!!
[|AI|]  Hello! Welcome on Chat Doctor! I passed carefully through your question and would explain that yours symptoms could be related to anxiety or seizures. Complex partial seizures (or temporal lobe epilepsy seizures) can mimic all this clinical scenario. Gastritis or gastroesophageal reflux can not be excluded either. But, I would exclude the heart as a possible cause. Coming to this point, I would recommend consulting with your attending physician for some tests: - a chest X-ray study- an EEG- a resting ECG- carbamazepine (regret) plasma levels-complete blood count- PCR, ESR for inflammation. If all these tests result normal, I would recommend trying an antacid. If it helps relieve your symptoms, a fibrogastroscopy would be necessary. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Wishing good health,