Conversation: The conversation between human and AI assistant.
[|Human|] I can t sleep. Feels like my chest is heavy and tight and I feel like I cant breath almost as if I m holding my breath without realizing it and I need to force myself to take breaths. Also iam waiting for lupus test because I still have joint paints in hand and legs and neck and shoulders and I will probably find out my results tomorrow but this chest symptom just started 30-40 mins ago and I can t sleep! Please help! I feel like iam going to faint. Should I go to Er? Is this an emergency! Don t want to waste my time again!!
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, in my opinion, you should definitely go to emergency room and rule out cardiac and Pulmonary causes. Chest heaviness, tightness, pressure with breathlessness especially on lying down suggest possibility of cardiac and respiratory diseases. So get done ECG, 2 d echo to rule out cardiac cause. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out Pulmonary causes. Better to consult ER and first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.