<s>[INST] my mother is of 48 years of age.she had hystertomy 6 years back and since few years she is having pain over left chest and its back which radiates to left arm and she also have muscle cramps.now a days slight swelling in legs.her hemoglobin in 10 gms and esr is 100mm/hr.so.can you tell whatz her problem and whst should i hv to do? [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Since your mother is in premenopausal age, she is at risk of heart diseases and heart diseases can cause similar kind of chest pain which radiates to arm. So first get done ECG and 2d echo. If all these are normal then no need to worry about heart diseases. She is also having muscle cramps, so this can also cause similar symptoms. So ask her two follow these steps. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3.  Avoid heavyweight lifting and strenuous exercise. 4. Apply warm water pad on affected areas. Don't worry, she 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. Wishing good health to your mother. Thanks. </s>