Conversation: The conversation between human and AI assistant.
[|Human|] ive been having chest pain that feel like they start deep inside my chest and radiate outward into front back shoulder area , ekg and stress test normal but if I get hot climb stairs walk too far , get cold , slightly stress or even in bed I get then just sitting at rest at times I think its angina , my md knows , it started sunday, after I had done that ice bucket challenge thing, bad idea. im also couching but not producing anything so im not sure if it could be making it worse? should I go too er if it keeps getting worse bcause today it seems more intense pain wise then it was .
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done chest x-ray first to rule out pleurisy (inflammation of pleura). As chest pain of coughing is characteristic feature of pleurisy. Common Causes for pleurisy are1. Pneumonia2. Pleural effusion3. Lung trauma, pneumothorax4. Tuberculosis etc. So get done chest x-ray to rule out all these. If chest x-ray is normal than no need to worry much for pulmonary causes. Your ECG and stress test are also normal, so angina is not an issue. So stop worrying about angina. If all are negative (normal) than anxiety can be the cause. So avoid stress and anxiety. Be rely and calm.