<human>: I seem to be getting a tightness around my heart and pain in my upper left side of my arm. Im slightly obese and this seems to increase every time i have high a high calorie intake especially eating french fries. I have a high stress level job and the pain seems to increase every time i stress. it has also become more frequent. Should i worry?
<bot>: Hello! Thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms could be related to anxiety. Anyway, it is important excluding other possible causes (like coronary artery disease, etc.) which may lead to this symptomatology. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG and cardiac ultrasound - a cardiac stress tests- a chest X-ray study-some blood lab tests (blood lipid profile, kidney and liver function tests, fasting glucose, blood electrolytes). If all the above tests result normal, you should consider anxiety as the main cause of your symptoms. Hope you will find this answer helpful! Best wishes, 