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

### input:
I have a stinging feeling in my left chest area. Its is not currently all that intense, but it does go and come. My left chest area is the only place I feel it and thats why it concerns me so much, its just above my heart area. Im a 56 year old Black woman who is very concerned about the risk of heart attack. I have gone to the doctor many times about similar problems and different pains in this same area. I have had every heart test known to man, I think. Im always told my heart is fine, but this or things like this keep coming up. Last visit to the doctor to check on my heart resulted with me getting to go home with a bag full of Nexium pills to take. What should I do?

### output:

Hello! Thank you for asking on Chat Doctor! I read your question and understand your concern. Your symptoms seem to be caused by musculoskeletal pain or anxiety. They don't seem to be related to any cardiac disorder and the fact that all your previous cardiac tests have resulted normal, is another argument in favor of an extra-cardiac cause. Is the stinging feeling modulated by body movements or breathing? A musculoskeletal pain would be modulated from the respiratory movements. Does medium make any changes to your condition? Have you tried any painkillers? I would not exclude a pinched thoracic nerve, which could mimic a similar clinical scenario. I recommend consulting with the neurologist for a careful physical examination for neurological signs and performing a chest x-ray, a routine blood test and a cervico-thoracal spine x-ray to exclude any other possible cause. If all the above-mentioned tests result normal, anxiety would be the most probable diagnosis. Hope to have been helpful! Best wishes, 