<human>: Hi Doc. Help. I have beeen having these burning /heavy strange pains across my chest, which seems to go down on the inside of my arms as far as my elbows, happens when i walk fast,/rush  , do pressure jobs etc, i have been taking urbanol now for the last week, but still persists , I have bee to a Dr & says its anxiety/stress, but this is worrying to me, possibly i should get a second opinions?
<bot>: Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and understand your concern. It is important making a careful differential diagnosis of your symptoms: - a backbone disorder, leading to irradiating pain in the arms, related to a slipped disc could mimic this symptomatology. -an ischemic heart disease, could explain the pain while exercising, but not the irradiating pain in both arms. -gastroesophageal reflux, could be related to heartburn during physical activity. I recommend consulting with your attending physician for a careful physical examination and some tests: -resting ECG -chest X-ray study-cervico-thoracic column X-ray study-lab blood tests (complete blood count, PCR, sedimentation rate, amylase plasma levels, kidney and liver function tests). A cardiac stress test may be needed to exclude a cardiac ischemic disease if suspicions are raised. A fibrogastroscopy may be needed if all the above tests result normal, to exclude possible reflux. Hope to have been helpful! Greetings!