<s>[INST] What would cause severe pain immediately below the breast line and pain in the teeth occurring during sleeping hours and lasting approx. 10 minutes. Occurs intermittently about once or twice a month in a 54 year old female with hx of family heart disease [/INST] rule out heart problem.it could be due to gastritis caused by hot & spicy food or inolrence to specific food.It is unlikely to be connected to family history of heart disease. </s>