instruction: hi doctor I am a 19 year old female with constant gas heartburn chest pain breast pain dizziness nausea and back pain I went to my doctor and was told it was due to anxiety so I started zoloft and prilosec I had panic attacks and hyperventilation but my severe gas and pain will not go away I tried every gas indigestion medication and these problems still persist could this be heart related no known family history of heart problems
output: hello I have gone through your query and concern your egg report is given as normal I would like to know some more details about your present symptoms in order to suggest further management strategies I would like to know that after starting medications for your anxiety do you still have chest and breast pain where is the exact location of pain duration of pain is it on exertion or at rest exact nature of your pain is it dull aching heaviness sharp pin prick type squeezing type is it associated with breathlessness kindly get back with the above details for further discussion and management