Conversation: The conversation between human and AI assistant.
[|Human|] I am having chest throbbing that s been going on for months . Heart palpations short breath. Lower middle anad uper back pain both arms tingle and cheeks too. What feels like heart burn after eating and throb on top of both breast that is constant.sometimes into armpit and ribcage. Sore to touch. I have a herniated cerabellum tonsil(possible chiari malformation) dizzy headache neck pain. Just had a chest mri xray and nuclear test done in octeber showing all is fine with heart but pain still persist. I need help!
[|AI|]  Hello, I passed carefully through your question and would explain that your symptoms could be related to gastritis of gastroesophageal reflux.  For this reason, I recommend performing a fibrogastroscopy.  I would exclude any cardiac issues, considering your cardiac performed tests.  Regarding the Chiara malformation, I agree with you that it could be related to the dizziness and neck pain. Anyway, I recommend trying to correct your posture and use an orthopedic pillow in order to investigate if a wrong posture is contributing in all this clinical scenario.  Hope I have answered your query. Let me know if I can assist you further.