Conversation: The conversation between human and AI assistant.
[|Human|] I am having shooting pain down my left arm I am overweight at 220 # 62 years old and a female.I was wondering if the pain could be related to a heart attack. It is very sharp pain but not continual. I may have an hour or so between pains and then it shoots down and it will do that on and off for a while. Any advise.
[|AI|]  Hello, This is most likely due to cervical pain, due to compression of nerves between spine. Possibility of heart attack is little lower than cardiac pain usually occurs on exertion and relieves with rest. Also, pain of attack is usually retrosternal and associated with left arm pain, sweating uneasiness etc. and will not persist so long. Does this pain increase on neck movement, or any neck trauma, these may be the associated symptoms. You should get x cervical spine AP/ Lat view and further may need MRI. You need to visit physiotherapist after x-ray and also orthopaedician. Till the time he can have tabbed Erosion Forte once a day which is a nerve vitamin. If this is not helpful then you need to Tab Pregabalin 75 mg bedtime, which is a nerve stabilizer. Hope this helps you and get back if you have any doubts. Take Care