Conversation: The conversation between human and AI assistant.
[|Human|] I am regualary feeling pains in the chest and and the left arm joins and stomach pain. When i checked with doctor and the cardio reports are saying im perfectly alright. But, im now and then feeling i may get heart attack. Some times during tension, i may feel bad and get vomitting, motion symtoms. Please help me in this
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your symptoms could be related to anxiety. Have you performed a cardiac stress test? It would help investigate for coronary artery disease and reassure you that you are not going to get any heart attack. If you already have performed this tests, and it is normal, I would recommend considering other possible causes that may mimic this clinical scenario: gastritis or gastroesophageal reflux, a cervical column articular nerve pain or anxiety. For this reason, I would advise performing a cervical spine X-ray study and making some trials: a- try taking an antacid or omeprazole. If it helps improve your situation it would indicate possible gastroesophageal reflux or gastritis. In such case a fibrogastroscopy would be needed. B- try taking alprazolam 0.25 or 0.5 during those episodes. If this helps improve your situation, it would indicate anxiety as the main cause of your complaints. You should discuss with your doctor on the above issues. Wishing good health,