<s>[INST] Hello, I had ECG and X-ray and also went to my doctor yesterday who listened to my heart and did a blood pressure test all was normal and checked ECG and X-ray reports said every thing fine but I still feel that something is wrong with my heart. I am 23 healthy an work outdoors but why do I still get pains in my chest and tingling down my arms and some times right side also what might be the problem..? [/INST] Chest pain can be also due to multiple reason always better to rule out first cardiac problems your doctor didn't find NY thought still u go for further 2-3more heart investigationECG-done normal2dECHOTRADE MILL TESTANGIOGRAPHY(if required by cardiologist Chest X-ray to rule out for any trauma(ribs fracture), pneumonitis Castro problem Treatment.tramadol 1tab thrice a daycare.pantoprazole 40 mg twice a day for 15 day then followed by 1tab once a day </s>