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

### input:
Hi, I am a 26 year old male. For the past 2 years I have suffered from terrible chest pain and left shoulder blade pain. It is not always a sharp pain but is more of a discomfort. I get the feelings of palpitations and also get sore jaw sometimes and sore pains in my left arm. I have been for numerous check ups and tests but everything is coming back normal. My doctor keeps telling me it anxiety which I have been on medication for, for quite some time now. I have also spent a lot of money on therapy. Nothing seems to be getting better. I don t feel stressed at all and I know there is something out of place going on in my body. I have just recently developed a couch which is now making me worry about my lungs( I have had hayfever though so could be why). I feel my symptoms get worse after physical exercise or a hard days work. Could it be that I need to see a chiropractor? Any help would be great? I m worrying myself sick about it. Thanks

### output:

Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Chest x ray2. CT thorax if needed3. PUT (pulmonary function test). Since your cardiac work up is normal, we need to rule out pulmonary causes now. You are also developing cough, this also favors possibility of lung related causes. Chronic infections can cause chest pain and pleurisy (inflammation of pleura). Pleurisy can cause shoulder pain. So chest x-ray is needed to rule out infection. Chronic bronchitis can also cause similar symptoms. So get done PFT to rule out this. If all are normal, then mostly you are having anxiety related symptoms only. So consult pulmonologist and rule out pulmonary causes for your symptoms.