Conversation: The conversation between human and AI assistant.
[|Human|] I ve been having chest pains for a couple of hours now. I am 30 and I ve had some issues with chest tightness due to psoriatic arthritis. I did start synthroids 50 mg today. My blood pressure is normal 126/76 Are there any signs I should look for about this pain to know if its not just the arthritis?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Psoriasis arthritis can cause lung complications like bronchitis and lung fibrosis. Both these cause chest tightness and chest pain. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is screening tool for lung fibrosis. PFT is must for the diagnosis of bronchitis. If both these are normal then no need to worry about major lung diseases. Take simple painkiller and muscle relaxant Chat Doctor.  Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.