Conversation: The conversation between human and AI assistant.
[|Human|] long time now, I get severe upper middle chest pain, whne I walk few yeard keeps on increasing as I co9ntinue walk pulse bit rapid, WHEN I sit for a few miniutes it goes down gradually agin if I waqlk it comes back severe NOT HEARETBURN, MY HEART OK says Cardiologist, gastyro entrologist suspect GORD or to do endoscopy of isophagus SOMTIMES pain comes WHEN sleeping I do jogging in the morning NO PAIN COMES I BURP a lot whne I get up from bed after meals NO OTHER symptoms BLOOD pressujer ok controlled by ATENOLO NOTEn onme tablet a day even sinujs tachycardia controlled no diabetic NON smoker Non acholic WHAT coulfd this mystery CHEST PAIN BE very long Whne I ehert or WALk setlles down if I REST for 5 min or so sometimes very severe feels panicky nervous about this pain DOES NOT settle for nitro lingual spray PL ADVICE ME I am 77 years a male pensioner I do qwalkinga lkittle with difficuly becos of this PAIN COMING always have normal sex life sometiomes END OF SEX pain comes
[|AI|]  Hi, I cannot say in your particular case, but generally, you'd have a stress test to evaluate for angina. Possibly with nuclear studies. Then, some other possibilities is esophageal spasm (but nitro almost always works WELL for that). Reflux and of all things diaphragm or upper stomach spasm and metoclopramide might work. Oh, you'd want to check for aortic aneurysm, although it is a bit of a long shot. But you have to rule out cardiac origin. I hope this answers your query. I remain at your disposal in case further medical assistance is needed.