<s>[INST] I've have been getting various pains in my chest and around my neck and shoulders for some time ..  but this arvi i had pains it felt like in my left arm just below the inside of elbow...   i don't know if i'm suffering anxiety or it could be something to worry about...    i've got a headache and have taken an aspirin...   please help [/INST] Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, we should definitely rule out cardiac chest pain first.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 (propranolol and flunarizine combination) too.Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>