Conversation: The conversation between human and AI assistant.
[|Human|] I ve been chewing tobacco for about 7 months and a lot. I just started to get chest pains when I put a lip in and can t take deep breathes without pain. It felt like I had a heart attack today my heart was burning really bad and I was seeing black sparkles like I hit a funny bone and I was sweating a lot. What s wrong with me ? Today I stopped chewing and will be done forever
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! Your symptoms don't seem to be cardiac related. A muscle skeletal pain and pain related to pleuritic could be modulated by the respiratory movements, but would not be related to the tobacco chewing. Another disorder would be esophageal spasms or gastritis, which would be exacerbated by the tobacco chewing. Have you tried to take any painkillers (acetaminophen, ibuprofen)or PPI's (lansoprazole, omeprazole)? The pain relief from painkillers would indicate a musculoskeletal pain. The pain relief from PPI's would indicate a gastroesophageal disorder. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray and some blood lab tests (complete blood count, PCR, sedimentation rate, kidney and liver function tests, etc.). A fibrogastroscopy would be necessary to exclude a possible gastroesophageal disorder. Hope to have been helpful! Best wishes,