Conversation: The conversation between human and AI assistant.
[|Human|] My brother had a valve replacement 10 years ago and for the last month he has been having the following sympyoms, panic attacks, messed up vision, belching, arm pain sometimes, lower right stomach pain, mid back pain, insomnia. Could this be caused from the valve replacement
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. No, valve replacement cannot not cause all these symptoms. He had valve replacement 10 years ago. So it is impossible to have these symptoms due to valve replacement. Possibility of stress and anxiety related symptoms is more. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic Chat Doctor.  Don't worry, with proper treatment and counselling, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks.