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

### input:
a week ago i felt stabbing pain in the chest area left side , i went to my doctor he said i am suffering from a somatiform disorder physicaly i am fine , he asked for a chest x ray i got it today and the reoprt stated that 1- clear lung field and both costophernic angels with no evidence of active focal plumonary lesions. 2- no hailr or mediastinal adenopathy detected 2-the heart shadow appeards not enlarged 4- the osseous structure is intact. i did suffer from anexity and depression fro a long period in my life but the pain is reall and i have shortness of breath as well and loss of appettite and weight loss can you please help me understand the x-ray reoprt

### output:

Dear Concerned., Thanks for writing to us. Your CXR is normal or NRA-No radiological abnormality seen in roentgenogram. The shortness of breath is due to Hyperventilation Syn Chat Doctor. Loss of Appetite with loss of weight are also a sequela of Anxiety Neurosis. Do you have any anterior neck bulge/protruding eyeballs? Do you have constant sweating? In your history you have not actually mentioned your most important Vital Parameters-Pulse Rate//Resting Pulse Rate., Blood Pressure and Respiratory Rate. These are very important to differentiate between Anxiety and Hyperthyroidism. In addition to CXR, you should have undergone Thyroid Function Tests /baseline blood and Urine Tests and a resting ECG in 12 leads. If all the above are Normal, your Anxiety Neurosis will be confirmed., Pls take a consultation with Psychiatrist for "Talk Therapy" or Psychotherapy to analyze the root cause of anxiety and then "Medicine Therapy" or Pharmacotherapy as decided by your Psychiatrist. Avoid hot //spicy//oily// food. Take over the counter antacids. Walk for 15 mins after food. These will help to regulate Hyperacidity which may cause above type of pain in Acid Peptic Disorder(APD). Wishing you a speedy recovery., Best Regards.,