Conversation: The conversation between human and AI assistant.
[|Human|] Hi I m hoping this will help I recently got diagnosed with anxiety and panic attacks I have been a smoker for about 20 years at a half a pack a dayfor the last couple months I ve been feeling like I have a dead arm on my left side with tingling and numbness sometimes ....on and off I have been feeling a pulling pain from my neck to my chest for the last couple of weeks but yesterday at work I felt it and it made me nauseous and the feeling has not gone away all night I feel like it is worse when I take a deep breath but it is very uncomfortable
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of anxiety related symptoms is more but since you are smoker, we need to rule out cardiac cause for your chest pain and arm discomfort. So first get done ECG and 2d echo. If both are normal, then no need to worry about heart diseases. Your symptoms are mostly due to anxiety and stress. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. And quit smoking as soon as possible, it is not good habit. Hope I have solved your query. Wish you good health. Thanks.