Conversation: The conversation between human and AI assistant.
[|Human|] Good morning Doctor actually I am a kidney patient and some time back my chest was painingthen I went to hospital and undergo ECG and ECho test which became normalbut still it is my chest is paining .  Doctor suggested me stress thalium test but my nephrologist denied for this test kindly advise me
[|AI|]  Thanks for your question on Chat Doctor. Chest pain in kidney patients can be due to 1. Cardiac disease 2. Pulmonary disease like pleural effusion or pneumonia. Patients with kidney disease are at high risk for cardiac disease. Since your ECG and 2d echo are normal, possibility of cardiac diseases is less. Stress test has its own diagnostic value. So no harm in doing it. If this is normal then you can be assured about not having cardiac disease as a cause for your chest pain. Patients with kidney disease have lower immunity. So lung infections are very common. So pneumonia and pleural effusion should be ruled out in your case as both can cause chest pain. So get done chest x-ray.