The conversation between human and AI assistant.
[|Human|] I have continuous chest pain which increases to unbearable at night. By 9 am the pain subsides to dull again. Echocardiogram came back clean. chest xray the same. it was found that the right side of my heart was slightly enlarged, No ephsophogus problems found. Bone scan bothing Doctor says it is in my head and told me to wait a few months and he will check again.
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry about. I will try to explain you something and give you my opinion. You should know that typical heart pains have some characteristics. They are usually retro-sternal pains likes quizzing, tightness or heaviness. They may irradiate to both arms, neck and jaw. Furthermore, they last from 5 to 20 minutes. Pains that last all night are not typical heart pains. The first and most important thing is to exclude ischemic heart disease. The fact that you already have done echo and its normal it's a very good thing. If I was your treating doctor I would recommend a street test to definitely exclude ischemic heart disease. The fact that you have excluded any skeleton problem is also a good thing. The other thing to exclude is a gastrointestinal problem that sometimes are responsible for this kind of pains. So, I would recommend a fibrogastroscopi. After excluding this we can be sure that's nothing to worry about. Hope I was helpful. Best regards, Chat Doctor. 
