<s>[INST] Hi, my name is Adam. I m 29. The only medication i ve been on for the past 2.5 years is methadone.. I was on 90MG but I ve dropped 1 a week. I m currently on 27MG. the last 5-6 days,..mainly at night.. my heart aches really bad.. Especially if I lay flat on my back. I ve had to sit up in a recliner and go to sleep that way.. About every 3-4hours my heart is aching and I wake up and my arm(s) are tingling and numb.. I m afraid of a stroke or heart attack.. Please give me some advice.. I have no insurance. Thanks for your time, Adam. [/INST] Hi, Welcome. The symptoms you are telling does not seem to be a heart issue. Cardiac chest pain is diffused, squeezing type & increase on exertion or stress. It can radiate to left arm or shoulder. It does not occur in specific position. But still Ill advice you for certain tests to be completely sure about it. I'll recommend you to do an ECG, 2D Echo & Lipid Profile. You can follow up after the above reports. Thanks </s>