<human>: i have been having left arm pain and heaviness for about and hour sick to my stomach tingling in fingers and pain in upper back and the pain in my arm is getting worse and going up my shoulder,could i be having a heart attack? some tightness in chest
<bot>: Hi and pleased to answer you we need some informations to be more precise : smoking use, age, diabetes ...etc but when a patient present symptom like you, we need to evaluate firstly a coronary heart disease first, cause it's a life-threatening diseases. Then the symptoms you present are more likely to be attributed to heart diseases, and you need urgently to do an EKG and a troponin blood test. But if all the cardio logic test become negative, some gastric diseases can be the causes. Best wishes