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

### input:
Hi, a week and a half ago I went to the doctor because I had shortness of breath, and I felt like an elephant was sitting on my chest, and felt like I was drowning when I layed down. I was started on prednisone, Flovent, and givin azethromiacin on top of the albuteral inhaler, singulair and Zyrtec my doctor already had me on for asthma and hay fever. Yesterday I went back to the ER because I was having extremely bad air hunger, I was dizzy and light headed, my fingers and toes where starting to tingle and the pressure on my chest was worse and accompanied by a raidiating pain that started under my left collarbone down to under my left breast. The ER took blood and chest X-rays that where normal and sent me home with a prescription for Xanax to help calm me down during an attack, threw out the night my left sided chest pain has gotten worse along with the pressure, and I have had no relieve using the Xanax, and I almost pass out every time I stand up. Ive also had swelling in my hands and ankles when I work for the past few months. Im worried about this pain and if I should go back into the ER today?

### output:

Thour allergic might be due to increase in other systems I think you might be having heart involvement you much check BP as it may cause the chest pain swelling due to long term asthma and allergy there is backflow of blood leading to more congestion and swelling continue with med check uptake some diuretic to clear of fluids from body done take any medicine like for sleep and anxiety consult specialist under these guidelines described above