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

### input:
I have a minor pain - not in the chest - but kind of like near my left breast, near the armpit.  It is not constant - but annoying.  Could this have anything to due with being anemic?  I recently had lost so much blood due to a fibroid on the uteris that I had to get a transfusion.  I am scared that it might be a heart attack - or am I over worring?

### output:

Hellothank you for posting here. I do understand your concern. Chest pain originating from the heart usually comes on exertion like walking running or stress. It is usually behind the breastbone but can vary from person to person and can appear anywhere in the chest or back. If you get chest pain while resting then it is either an unstable angina or NST EMI (small heart attack). [don't worry I am not saying you had a heart attack]. In addition, anemia also causes decreased blood supply to the body organs including the heart. Therefore first we must rule out a cardiac cause. First an EKG, Complete blood count, cardiac enzymes test and a 2 d echo should be done. If all these reports come out as normal as you can be relieved. Next a treadmill test which requires you to walk on the treadmill while your EKG is continuously monitored is advice. If this treadmill test is negative, you can stop worrying about heart attack now. Treadmill test should be done only after ECG, enzymes and echo in your case. In the meantime you can self examine your breasts for any lump or mass. If you can feel any mass or lump a mammography is advice. If you still get the pain despite these tests then a short course of NSAIDs like diclofenac can be taken along with antacids-pantoprazole 40 mg twice daily before meals. Wishing you good health. Thank you