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I am smoker. Getting pain and pressure in chest, pain in neck and shoulder, feeling nausea. Is it serious?

Im a 22 y/o female. Bmi is 17.2 and I am a smoker. I have been getting severe chest pains. i get a pressure like crushing achy pain in my center left part of my chest. Seems like its located around my heart . when i get the pain i get in in my chest along with my neck , upper back, and shoulders. Its beyond excruciating. Its completely at random, mostly after getting up and moving around alot. Doesnt really occur around certain foods either. Although i have had some stomach psins recently. Could this be serious? I dont have insurance at the moment? it does ease up when i sit/lay down and my nausea eases as well but none of it takes it completely away. if i stand up when the occurence happens it gets so bad i cant stand it.
Asked On : Tue, 17 Jul 2012
Answers:  1 Views:  47
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Psychologist 's  Response
Dec 2015
Welcome to HCM
We understand your concern

You are 22. That does not mean that you should not worry. Chest pain around heart region, radiating pain towards neck and shoulder blades can be associated with heart trouble along with the following symptoms like profuse sweating, panting, breathlessness, palpitation etc. Otherwise your symptoms could easily be associated with anxiety and somatoform disorders.

Therefore consult a physician and rule out possibilities of heart trouble with a EKG. Then contact a psychologist for anxiety treatment.

Get well soon.
Answered: Mon, 8 Jul 2013
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