<s>[INST] Hi I took vyvanse and I am not prescribed it and I know it s stupid but I also smoked marijuana and my heart started to hurt and was pumping really fast, I haven t done either of those in over a day but now around my upper left chest area it feels uncomftorable and it is hard and kinda hurts to take deep breaths. What is does this mean and is it permanent? And I really want to know I don t know if it is against the rules or not but I have no money because I m only 15 so can you please email me the answer at YYYY@YYYY , please I really want to know what s going on. [/INST] Hello dear, thanks for your question on Chat Doctor. In my opinion you are having mostly anxiety related chest symptoms because your age is too young (15) for cardiac and pulmonary diseases. But, since you are smoking marijuana, we need to rule out cardiac and pulmonary causes first. So get done1. ECG2. Chest x ray3. PUT (pulmonary function test).ECG is needed to rule out cardiac cause. Chest x-ray and PFT is needed to rule out pulmonary causes. If all of the above are normal, then no need to worry much for cardiac and pulmonary causes. Your chest symptoms are due to anxiety only. So consult psychiatrist and start appropriate treatment. Avoid smoking marijuana. </s>