instruction: hello doctor I am having some chest pain on my left side it feels like it is around my heart kind of a slow deep ache from my armpit over the whole chest up to the clavicle I have been having a bit short of breath and when I stand up I feel really dizzy and light headed it takes about 10 15 seconds to feel normal again it has been like this for the last three to four days but I have experienced pain in my chest like this before but it has gone away in a day or two I am 29 years old I have a healthy diet and no previous health concerns
output: hello firstly this does not appear to be cad coronary artery disease related pain to me however it should be evaluated to rule out some unusual cardiac causes especially valvular problems because of your age long duration of symptoms without treatment and atypical nature of pain it does not look like pain due to cad now angina pain would typically increase or occurs on exertion and relieves with rest and cardiac pain would persist for a few minutes rather than seconds and does not remain round the clock intermittent chest pains may not be cardiac such pains are usually due to acid reflux acid reflux pain occurs more frequently in lying down position occurs intermittently persists for a few seconds to minutes so yours may be related to it other gastric symptoms may be associated like epigastric pain bloating and burping etc another possibility should be considered is of costochondritis if there is definite tenderness over the chest wall see if you also have any neck pain tingling numbness etc for cervical pains regarding dizziness it is likely postural hypotension this may occur due to dehydration so keep yourself well hydrated and have a proper diet if you have a be apparatus then should check your blood pressure be now if shortness of breath is significant then this needs early evaluation with examination and tests like egg electrocardiography and echo so your symptoms are nonspecific and overlap with many non cardiac and benign causes as well but you will need a thorough evaluation with an examination egg and echo to rule out cardiac problems I hope this helps