<s>[INST] I am a 25 year old female. I do smoke cigarettes,  but cut down to 3 a day. I just moved out to the West coast from Florida and having chest pains. I have gone to the ER twice within the last 2 months. My blood tests, EKG, and chest xray all came back normal. I cannot deicer if this is severe panic attacks. My chest pains are centered or under the breast bone. (Both sides) my feet and hands get super sweaty. I feel like I cannot breath because I have a heaviness on top of my chest. My beats per minute was between 45-60. I sometimes wheeze. Tonight, my stomach felt like I had acid refluxed and I actually threw up. Doctors say I am fine, but I always think I may be having a heart attack. I feel like my throat closes in. I am still having pain. [/INST] Hi, From what you have described, your symptoms are highly suggestive of panic attacks. It is a condition in which one suddenly starts feeling very anxious and has symptoms of palpitations, chest pain, difficulty breathing, sweating, tremors, etc. and feels that he or he is having a heart attack or that he is going to die or go crazy. All these symptoms do settle down on their own after some time. Your investigations have already turned out to be normal. You should consult a psychiatrist and initiate treatment for your symptoms. Treatment with medications like paroxetine would be highly effective. In addition, you should start exercising daily. Of course, you should also try to stop smoking completely. I do hope that I was able to answer your query. Best wishes, </s>