Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have chronic pain in my shoulder and arm. About 5 years ago, I used to get pins and needles and numbbess. I no longer have that sympton, just pain and numbness. It feels better if I wrap something around it or take otc pain medicine like aleve. Also I have a dull achy pain in my chest, periodic pain in random parts of my body. (I went to the emergency room for the chest pain, they could not find anything and the pulmonologist(?) could not find anything either. Also my symptoms become more prevalent during PMS.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your problem and situation. PMS (Pre menstrual syn Chat Doctor.  At the beginning of menses there is sudden LH (routinizing hormone) surge, which cause change in estrogen and progesterone levels. These change causes bleeding. Along with bleeding these hormone changes can cause anxiety, stress and mood swings. So many women feel vague symptoms during PMS. They all are related to anxiety and mood swings. Your cardiac and pulmonary work up is also normal, so anxiety appears more in your case. You need anxiolytic and other supportive