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

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Hey guys, I was wondering if anybody can shed any light on Wheaton earth is going on with me.I have recently visited a&e a fair few times in the last few months for these symptoms as well as my doctor but nothing is getting me anywhere.It seems that I cannot request the doctors to refer me for certain things unless they have due cause.I do suffer with asthma and anxiety but 100%, its not related which the doctors just keep writing it off as.For the last 3 years, Ive suffered with a tight chest and a really strong heart beat.Not necessarily a fast heartbeat but a strong thumping instead, so much so that I can feel it vibrate throughout my body.Tight chest I have all the time, worse when I eat, drink, do anything physical.I literally carried an empty cardboard box up the stairs the other day, maybe 2kgs maximum and had to have a rest immediately due to not being able to breathe properly.That isnt normal for somebody who is only 27 years old.I get this tight chest feeling then in turn have a bloated, hard feeling stomach.Im having to use the toilet immediately after eating, again, that shouldnt be the case.Its as if its going straight through me with no digestion process.I feel weak, dizzy, blurred vision, I genuinely feel like Im falling apart.The doctor said that it may just be anxiety but its not, whats making me feel anxious is feeling so ill.I occasionally bring up blood and phlegm after coughing (the coughing has only developed recently)I have a hands on job, my own business intact but I havent been able to work for the last 2 months due to feeling so rotten.It seems the doctors simply assess my asthma, ask me about anxiety, listen to my heartbeat and tell me in ok.But im not, and I know Im not.Im running out of options and physically cant continue feeling like this.My doctor makes me feel awkward for requesting services like a 24 hour tape / brain scans / CAT scans but surely if I feel this is necessary, I should be able to ask for this surely?My chest is sort to touch in places, very tender.I go very red in the face if I eat too much, I go very pale if I do too much physical stuff, even running up the stairs or climbing in and out of my van.Im not diabetic, I dont have any STIs, there is no foreign bodies in my blood, ECGs are ok apparently, echos are fine.Im at a loose end here and need help.Also, has anybody every been through private healthcare on a pay per use plan.I was thinking about using bupa for the relevant tests and scans etc but unsure if its worthwhile / too expensive.Any info, much appreciatedMany thanks

### output:

Hello, Thanks for the query to Chat Doctor. Forum. Chest tightness, cough, exertion breathlessness, sometimes blood in phlegm, mucus, general weakness, strong heart beats (vibration type). In my opinion you may have Mitral stenosis ?However, without physical examination & complete history it is very difficult to diagnose any disease. But as you mentioned these symptoms relates to MITRAL STENOSIS. 2nd possibility may be due to asthmatic allergic bronchitis. 3 may be due to anemia, (complaining pale & breathlessness).4 may be due to esophagitis (causes are tension and stress).ECHO & chest X-ray as well physical examination by a physician will reveal the cause. Hope I have answered your question. If further any question, I will help. Good luck. 