<s>[INST] Hello, I am a 28yr old active female.  For the last year or two I have experienced chest tightness.  I also started rock climbing about a year ago.  I am not sure if this pain is caused by climbing... but I dont think its connected.  I was anorexic for about 2 yrs. in college.  Since then, I have been healthy - no blood pressure issues.  I told my primary care physician about his in September, and he attributed my heart pain to muscle issues.  I am still having it, however.  Also, I recently have had a lot of left shoulder pain (had left elbow tendonitis last year) and my left middle finger has been numb at the tip for about 2 weeks.  This could be a pinched nerve, in my opinion, but Im getting a little concerned since its all on my left side and Im still getting this heart pain.  Any thoughts? [/INST] Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out cardiac cause for your symptoms because left sided chest pain and shoulder discomfort are more associated with heart diseases. So get done ECG, 2d echo and stress test (trade mill test) first. If all these are normal then no need to worry about heart diseases. Sometimes, stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright with all these. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>