Conversation: The conversation between human and AI assistant.
[|Human|] hi iam andy taking pamvax the pain  is just under my rib cage . when having sex itslike  a build up and then when it releases the pain has gone . its so weired . there 1 miniiut gone in the next  also feels like i need the toilet really bad when i go its just trickles out . but it feels like theres loads in there.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Sexual activity is considered as heavy exertion. So you are having chest pain with such heavy exertion. Your pain subside with once sexual activity is over. So we should definitely rule out heart diseases in your case because heart diseases commonly cause chest pain on exertion. So get done blood pressure monitoring, ECG and 2d echo. You may need cardiac supportive Chat Doctor.  If all these are normal then no need to worry about heart diseases. Sometimes musculoskeletal pain can also cause similar symptoms. So apply warm water pad on affected areas. Take painkiller like ibuprofen. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.