My Friends suffer from severe depression to start off. she have been having pain (like heart area) when ever she cry, her chest pain too much and her heart beat increase much. Today (well just now) she had an episode of intense crying and she found that her chest is paining and the pain will be there through the day and the pain will go slowly on the second day. Anyway these like puts sooo much pressure and requires so much body effort that for some reason its affecting that general heart area and her body get too hot then. what to do? i am worried abt her. What could this be?! P.S. she is 19 year old female.

I have heart palpitations now. I am a licensed acupuncturist. I have listened to my heart when this is happening and it sounds like what is described as premature atrial or ventricular contractions. I never had this until recently. Last fall, I had chest pain and nausea and slight shortness of breath when I woke up one morning. I went to the ER and was evaluated. They diagnosed me with idiopathic chest pain. I went back 2 more times for the same thing and same result - chest wall pain or idiopathic chest pain. There were no palpitations then. Later on, I have had these palpitations and a slight feeling of phlegm in the chest. I do cough up a little thin mucous from time to time. It is kind of worrying because I have never had this before. I am 43, I worked out for most all of my life and was in very good shape. It is suspected that I have Acute Intermittent Porphyria, as I started becoming very chemically sensitive with many environmental allergies in 2001. I did acupuncture and chiropractic and now no longer have chest pain but I have these palpitations. My blood pressure had gone up significantly last year. It had always been around 110/70 or so and it went up to 165/110 for a bit last fall when this happened. Later, I had gotten it down to 110/70 for a while again, however, it has recently run up to 135/83 or so and has stayed around that level for the past few weeks. Currently, I do not have medical insurance and am wondering if this could be serious, should I be evaluated again, and what is this most likely?