Conversation: The conversation between human and AI assistant.
[|Human|] Hi doc, I ve had an asd repair about 4 months ago I m 22 years old and weigh 160 lbs , but I m getting frequent chest pains and they become stronger as time goes on. My cardiologist says it probably inflammation but I doubt that as the pain I feel is the same pain I used to have before I knew I had an asd. What do u figure can be the problem? I also have constant dizziness and arm pain.
[|AI|]  Hello, I understand your concern and would explain that it is important performing a comprehensive differential diagnosis between a cardiac chest pain and local musculoskeletal inflammation (including Costco Chat Doctor.  For this reason, I would recommend first performing a cardiac ultrasound, a resting ECG and cardiac enzyme levels. Other tests to consider would be a chest X-ray study, complete blood count, PCR, ESR for inflammation.  You should discuss with your doctor on the above tests. In the meantime, I recommend trying acetaminophen for the pain, coupled with a PPI (Omeprazole, Pantoprazole) for possible acid reflux.  Hope I have answered your query. Let me know if I can assist you further. Take care