The conversation between human and AI assistant.
[|Human|] Hi, Im 19, female and have been having severe chest pains for over two months (i think anxiety attacks) however since yesterday i have had a strong abdominal pain which seems to be making the chest pain alot more severe and im extremely pale. Should i mention the chest pain i have had since i was a small child (5) and doctors have never been able to tell me or my parents what it is, only at the age of 15 i had my first fit because of it... i feel the pane,it gradually builds up, go pale, then start shaking uncontrollably...everytime it happens when i get to the hospital im ok. I dont know what to do, please provide me with some constructive advice.Thank you Best regards Ana
[|AI|]  HI Ana. It is so unfortunate for you and your parents that in spite of your classical history, Doctors could not diagnose you. This history is classical of a few things :Event ration of the diaphragmHiatus hernia. Herniation of intestines through the diaphragm into the chest pain causing you the cascade of symptoms you wrote> strong abdominal pain which seems to be making the chest pain a lot more severe and I am extremely pale>I would advise you the followingX-ray of the chest and abdomen when you have an attack;;.CT scan Barium studies. Once the diagnosis is made the surgery may make you symptom-free and alright forever.
