<s>[INST] Lately, I ve been have a pins and needles feeling on my chest between my breasts and also some itching. What causes this? I m 55, Black female- Pretty good shape. I do take Amlodipine for high blood pressure and I m about 20 pounds overweight. I ve been having some shortness of breath for about six months. Nothing that stops me from doing anything. My doctor prescribed an ihaler and I use it when I need it. They took all kinds of tests but they never diagnosed me with anything. She said all the tests came back fine. So I think I might have asthma. I don t know. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult pulmonologist for your breathlessness and pinching sensations in chest. Bronchitis can cause similar symptoms after 50 years of age. You will need pulmonary function test (PFT). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You may need regular inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry you will be alright with all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>