Conversation: The conversation between human and AI assistant.
[|Human|] My sister is 28 and epileptic. She hasnt had any heart problems and she is a bit over weigjt. Today she has had severe pains in her chest that has traveled down to her stomach/abdomen that sje says feels like contractions. She isnt pregnant. The pain has traveled to her lower back and shoots pain up toward the shoulder blades. Shes a very stubborn person and wants to wait until tomorrow to seek medical attention. What could this be? Should she cal an ambulance?
[|AI|]  Hello, I have studied your case. As per your symptoms cause can be cardiac related. There is possibility of cardiac congestion. I would like to ask some more detail question about your symptoms. Was there sweating associated with it? Do you have history of hypertension? Another possibility due to compression of this nerve root there is pain in your arm. You need to rule out cardiac cause by ER check for these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care