Conversation: The conversation between human and AI assistant.
[|Human|] My blood pressure is 141/87.  I have been getting dull aches in my chest for a very long time.  Years now and I am now 45 years old.  I saw a doctor about 6 years ago because I thought maybe i was having heart problems but they did a heart cath and found nothing.  I am not sure what would cause dull aches in my chest.  I do have a history of acid problems that also runs in my family.  Could this be gas?
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry. I'll try to explain you something and give you my opinion. You should know that chest pains might have different reasons. The origin might be cardiac, gastrointestinal problem, Selectric, muscular or neurotic problem. You should know that typical chest pains has some characteristics. They are usually retro-sternal pains likes quizzing, tightness or heaviness. They may irradiate to both arms, neck and jaw. Furthermore, they last from 5 to 20 minutes. To exclude ischemic heart disease, if I was your treating doctor I would recommend a street test. The fact that you have done angiography is a good thing and probably the situation is still the same if you have the same complains, but it has passed a lot of time so a street test is necessary. Ti excludes gastrointestinal problem you should do a gastrohepatologyst consulting and maybe a fibrogastroscopi. Gastric problems, gas presence, reflux or ulcers might be the cause of your symptoms. Also, you should do a thorax X-ray to exclude any Celtic problem. Only after all this we can better understand what we are dealing with and how to treat it. Hope I was helpful. Best regards, Chat Doctor.