Conversation: The conversation between human and AI assistant.
[|Human|] I am 28 years old and the last 2 nights I have woken up with chest pain/tightness. I took tums when I woke up in the middle of the night thinking maybe it was heartburn, but it didn t really help. I had some tingling in my arms when tossing and turning to fall back asleep. Today I have had pain in my shoulders.
[|AI|]  Thanks for your question on Chat Doctor. In my opinion your symptoms are mostly related to stress and anxiety. But better to rule out cardiac cause first, you have chest tightness and arm pain and numbness. So get done1. ECG2. 2D Echo. If both are normal than no need to worry much for cardiac cause.  It is anxiety related only. So avoid stress and tension.  Be relax and calm. Consult psychiatrist and get done counselling sessions and discuss your problem s. Try to find out stressor in life and work its solution.