Conversation: The conversation between human and AI assistant.
[|Human|] I have been having daily almost all day chest pain, tightness, inside of left arm numbness since Saturday. I went to the er and they said ekg ok as well as blood test checking for heart attack. I have been suffering from low back pain from a work injury back in august dr thinks it is sciatica and I have a referral to a neurosurgeon for it. I m 37 and female. I take citalopram daily for over2 years. Pain medicine, muscle relaxers, inhaler no help.
[|AI|]  Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. You're all symptoms are suggestive of cardiac disease more. So, In my opinion you should consult cardiologist and get done1. 2d echo2. Stress test. Because ECG can be normal even if you are having cardiac disease. So we need to rule out cardiac cause by putting your heart in stress. If both are normal then no need to worry much for cardiac cause. Stress and anxiety can be the cause. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright.