Hello,
Fatigue with chronic shooting pain in the back, chest and the arms are commonly due to
Gastritis,
Acid Reflux, GERD. You can take antacids & PPI's for relieve.
However, developing coronary artery disease can cause such symptoms. You are suggested to visit a GP, get clinically assessed. Get CBC,
Urinalysis, X-Ray, Lipid function tests, ECG,
Stress test, etc done to detect any developing CAD.
Your treatment will depend upon the pathology detected. Heart problems may cause fatigue. Avoid sedentary lifestyle. Exercise & stay away from oily junk food & addictions if any.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Nupur K, General & Family Physician