<s>[INST] Hi, my name is Cheryl. I am 24 years old, single. I just would like to ask about my health. My mother told me that I was born with a blue baby syndrome. I noticed my being weak when I started my elementary years. It got worst when I reached high school. I usually collapse even when I didn t feel anything in me. No headaches, no pains, not even the feeling of dizziness. I also noticed that it almost always happened during menstruation especially on the first day and the dysmenorrhea. Also, whenever I got wounded even if it s just a small wounds, I usually can feel I m going to collapsed, is it just a psychological thing? Now, when I reached college I noticed that I easily get tired. I sometimes had hard time breathing even when I m not doing anything. There are also times that I can feel something squeezing and pinching my heart that I could really feel the pain. I wanna understand everything about this. Please help. Thanks [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Blue baby syn Chat Doctor.  So in my opinion, we should first rule out heart diseases in your case. So get done ECG and 2d echo. If all these are normal then no need to worry about heart diseases. Sometimes, uncontrolled stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic  </s>