Conversation: The conversation between human and AI assistant.
[|Human|] Hello! Im a 26 y/o male, 168cm/74kg. Im having weird contractions in my chest since yesterday. It is hard to describe. It starts from the the right side of my sternum, at the height of the nipples and runs fast up right to my throat. It happens under about 0.2-0.5 sec, then i feel something like a push with a finger (not to strong) right at the top of my sternum in my throat and then i feel urge to cough. Afterwards everything is ok for a few ten minutes. If i lye on my chest then it doesnt happen, if on my back then yes. If i sit then yes, if i stand then almost never. Ive tried to check if my heart skips a beat, because it feels like that, but i havent noticed a real skipping, or extra beat, maybe a very little delay because of the cough. Btw the feeling that runs up to my throat feels like a vessel that contracts and expands very rapidly. I feel like vacuum inside and then everything is ok. The thing is happening when im resting too, no stress at all. Ive had an ECG test (not stress test) about 3 years ago and the results were normal.  Thank You for the answer in advance!
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. But better to first rule out heart diseases. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Uncontrolled stress and anxiety can cause similar kind of symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright. But first rule out heart diseases. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.