Conversation: The conversation between human and AI assistant.
[|Human|] Hello.  I am a 36 year old female. I have been haing intermittent pain in my chest for a week or so on the left side of my sternum which includes after the pain episode the feeling of cold water running down my chest and left arm. and then I become very tired.
[|AI|]  Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Chest pain could be from HERD with Acid Reflux. Get it checked from your Family Physician. If need have Second opinion from Consulting Physician and investigate if need be. But in the absence of other information, I would suggest you to go for Physician Consults. As the facts could be different from what you submitted. So looking into the sensitive complaint of yours, I would suggest you to rule out-Ischemic heart disease(which is the least possibility)/spondylitis/ possibility by Consulting and investigating with Physician and Cardiologist doctor. It would be prudent to have physical Check from Consulting Physician before planning further investigations and treatment for it. Other causes need to be ruled out in any case. Dos -suggested for your case-Check with Family Physician and thereafter with Consulting Physician and then with Cardiologist- if you need beget ENT surgeons opinion to rule out other causes of HERD accompanied.Don't miss to have checks for Chest issues by X-ray Chest/ECG if needed, to rule out any causes related to heart and lungs. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Need to Check with family Physician and Cardiac-specialist if need be, if things don't recover.-Other causes need to be verified with your family GP doctor and Cardiac-Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from PCP-or GP doctor and if need be with Cardiac/ENT specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!!  Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS