Conversation: The conversation between human and AI assistant.
[|Human|] Throughout the whole day my left chest and mid to upper left back has like a throbbing pain. When I smoke marijuana sometimes have panic attacks that feel like heart attacks. My heart races like crazy. And yes I have chronic anxietys throughout the day if I leave my home
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease) related chest pain. But better to first rule out heart diseases. So get done ECG. If ECG is normal then no HERD is more likely in your case. Anxiety and Marijuana smoking are risk factors for HERD. They cause laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain, palpitations etc. So first quit Marijuana smoking. Stress management is very important to relieve HERD. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Take proton pump inhibitors and prokinetic