<s>[INST] I have a sharp pain that shoots from my left chest through my left neck around my left temporal area behind my left eye and in my left forehead sometimes light sometimes aggressive and when aggressive sometimes causes me to rapidly clutch my left chest area immediately following I have a few seconds of blurred vision and dizziness and a rush that runs from my neck and head into my arms and my chest and my hands on both sides I have had an echo cardio gram of my heart and caradid artery with clean bill of health by general physician I have seen a neurologist with a clean bill of health I am seeing a back specialist and bone and joint specialist regarding a pinched nerve in my lower vertebrae that we are correcting but is not believed to be causing the problem I have had three emergency room visits for the same problem and all clear bill of health as well for my heart I always have regular blood pressure and the problem seems to occur more often when I m sitting rather than standing or laying down typically if I m sitting in a recliner or a vehicle seat or something of that nature I don t know who else to talk to. I m not sure if I should I see a heart specialist or if it s another problem I m currently overweight at 380 pounds live a very high stress life personally and professionally and I am concerned if maybe this is a gas problem rather than a heart problem and I am going the wrong direction. [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Since your 2d echo and carotid Doppler are normal, no need to worry about heart diseases and hence no need to consult cardiologist. In my opinion, you are mostly having stress and anxiety related symptoms. You are living very stressful life. So better to consult psychiatrist and get done counseling 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. Avoid stress and tension, be relaxed and calm. Try to lose some weight. Stay fit and healthy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>