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

### input:
hifirst when i started to swallow something on my throat and had anything it used to cause a lot of pain for like 15 to 20 mins then it used to go. it used to carry on like this then i went to see my docter he told me to have amoxilin tablet after having this it did reduce a bit of pain in my throat but now if i walk upstairs or walk my heart beats very fast and my throat pain comes back i would lik to know why does this happen this is my first time and never experienced this problem.and by da way i am 45 yrs old

### output:

Greetings. Thank you for your question and welcome to Chat Doctor. I understand your concern. If this pain did not go away with your antibiotic therapy then probably it was not a sore throat. Angina, pain originated by a blockage in your coronary arteries (arteries that encompass the heart as a crown, and "feed" it with oxygen and nutrients), usually manifests as a mid-chest pain radiating to the throat and left arm or shoulder. However, sometimes it can have atypical forms of manifesting and, since you have this sensation during carrying out physical activity, such as climbing stairs, my opinion is that you should have a cardiac check-up to, at least, exclude the cardiac origin of this pain. This is what I recommend you to do. First, to consult a cardiologist and have an EKG and an echocardiogram, to assess your heart electrical system and conduction system, and also assess the motility and function of heart chambers and valves. If seen appropriate, proceed further with a cardiac stress test, do more sensitively and specifically depict any problem in your coronary arteries. With your symptom, if the latter test comes back positive or inconclusive, then a coronary angiogram is appropriate, to assess if there are blockages in your coronary arteries and, if there are, to be treated as recommended. I hope I was helpful. Take care and good luck. Best regards, 