<s>[INST] Hi, may I answer your health queries right now ?  Please type your query here...For the last four nights or so when I first go to bed and lay down I have chest pain and after awhile it goes away but I have also been awoken by it again later in the night, I have had palpitations occasionally for awhile now and they occur during sex along with shortness of breath....today I am noticing the same chest pain and fatigue and shortness of breath...can you please advise me...I am female and 39. [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out heart diseases in your case. So get done ecg, 2d echo and stress test (trade mill test). If all these are normal then no need to worry for heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>