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

### input:
hi`i m39,5 n 7.5feet,63kg wt,and is 9week pregnant.4 days before i got a pain in my left arm so that i cud bend my arm bt cant move it horizontally away from my body othr day i got sudden pain twice for 1second in my heart.i got too scared bt my huby says its gas,aftr pain i took dinner n got chill now after th8 i feel restless in my left side,too much exhausted n shorten of breath n last night sever headach i got n continued till now.i m already diagnosed with tachycardia wn i was in school.wat z this.pregnancy related or somthing serious.

### output:

Hi, You have mentioned pain in your Left upper limb region since 4 days with difficulty in movements along with one episode of shortness of breath / headache etc. Can you tell me : - whether you are only feeling pain in the left upper limb or is there any pain along with numbness, weakness, paresthesia etc. also in the limb? - how severe is your neck pain and since how long has it been there? - Do you have symptoms of acidity/reflux previously as well? - As far as your cardiac issues are there, you will have to get ECG and show it to your physician to rule out any issues there Since you are also pregnant right now, I cannot advise you too many medications but what you can start with is gentle physical therapy, Ice fomentation and local analgesic spray/ointment application. You can also use a sling for 4-5 days on the left upper limb just to offload it. Daily brisk walking is important. In case symptoms of shortness of breath, chest pain etc. arises, you must immediately go and meet the nearest physician so that any cardiac issue can be ruled out. Do not hesitate to contact me if you need any further assistance.  You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Hope I have answered your query. Let me know if I can assist you further. Take care 