### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 22 year old female. Healthy! 52 110 lbs. I have 4 kids. My chest has been hurting for about a week very mildly but i descided to check my blood pressure, and got a machine to do it with from my mom. It is a arm cuff digital machine, and i have tajen it since yesterday frequently in the same position and everything. It is all over the place. this morning it was normal at 115/80 but a pulse of 111 upon waking. then it has been as high as 168 as a top number and as high as 101 as the bottom. There was a few times it was normal. When I felt the worst however (really tired) it was 95/64. My pulse has only been under 100 once and then it was 98.

### output:

Thanks for your question on Chat Doctor. I can understand your concern. You are having irregular readings of blood pressure. Sometimes it is very high, sometimes it is low. You are also having chest pain and tachycardia. So better to first rule out heart diseases in your case. So consult doctor and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes, uncontrolled stress and anxiety can also cause fluctuations in blood pressure, chest pain and tachycardia. 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 Chat Doctor.  Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.