Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am a 44 yr old female who is experiencng periodic chest pain, numbness in both hands, pain in back between shoulders, swelling of feet , hands ans ankles. I also experience pain near the sternum area. Im always suffering with nausea and lately ive been vomitting up clear stuff.
[|AI|]  Hi, thank you for asking Chat Doctor I understand your concernsWith this presentation, I think you need proper assessment. The periodic chest pain you are experiencing may be from gastritis or peptic ulcer disease. An antacid and omeprazole could be of help. Concerning the swelling of feet, ankle and hand, I think your heart may be failing and not working proper (right ventricular failure). The numbness can be from a long term complication of high blood pressure, diabetes or electrolyte imbalance. You need clinical assessment and some tests like ECG, ultrasound of the heart, blood electrolyte panel, fasting blood sugar and kidney function tests. I would suggest you see a doctor for proper assessment and management. I hope that helps wish you well