### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 60, 162lbs, 5ft. Have thyroid, gerd, bi-polar and depression. taking meds for these conditions. Latly it feels as if my heart is slowing down, I feel very tired it can last up to 1.5 hours. sometimes pain. Family history grandparents (father) developed heart condition and death at age 60. Should I go to see an cardiology

### output:

Hello, Thank you for your query. Based on your symptoms, I would like to rule out thyroid hormone imbalances (due to inadequate therapy), heart pathology (atherosclerosis, rhythm disturbances). I would:- get a detailed medical, personal and family history. - do a thorough clinical exam.  Check for edema (water retention), signs of cardiac compromise. - get an electrocardiogram, and echocardiogram, chest x-ray -run blood tests (complete blood count, TSH, free T3, free T4, lipid profile, blood glucose panel, kidney & liver function tests). And a urinalysis -do a sleep study if indicated, to rule of obstructive sleep apnea. Based on the above results and findings, we could arrive at a diagnosis and treatment plan. To answer your query, I recommend that you consult a physician who could run these tests and examine you to rule out heart disease. If present, you would then need to see a cardiologist. Any chest pain should be immediately checked out. History of HERD and medications for the same should be reviewed and treatment continued only if necessary as long term treatment of Proton pump inhibitors (Commonly used to treat HERD) can affect kidneys. My recommendations :- quit smoking /alcohol (if you do) -eat well-balanced and nutritious diet especially that rich in fiber, and colored fruits and vegetables -stay well HY Chat Doctor. . Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health