Conversation: The conversation between human and AI assistant.
[|Human|] i felt like my heart shrunk for a second, like someone squeezing it. Then i get a numb feeling in my head, its like the feeling before fainting. Then i start feeling dizzy and breathing difficulty. But it all happens in a few seconds. I first had it two or three months back while i was having dinner. Since then it became more common and has happened a few more times. I would like to know what are the possible causes because its kinda worrying. I m worried that it would get even worse. Thanks.
[|AI|]  Hello, There are two possibilities, one is gastritis and reflux disease and second is cardiac arrhythmia.  It can be an acidity and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks.  If none of the above symptoms are present, then there is a possibility of cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Ln order to abort such episodes you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day.