<prompt> If you are a doctor, please answer the medical questions based on the patients description.a week ago i felt stabbing pain in the chest area left side , i went to my doctor he said i am suffering from a somatiform disorder physicaly i am fine , he asked for a chest x ray i got it today and the reoprt stated that 1- clear lung field and both costophernic angels with no evidence of active focal plumonary lesions. 2- no hailr or mediastinal adenopathy detected 2-the heart shadow appeards not enlarged 4- the osseous structure is intact. i did suffer from anexity and depression fro a long period in my life but the pain is reall and i have shortness of breath as well and loss of appettite and weight loss can you please help me understand the x-ray reoprt  <response>: Dear Concerned., Thanks for writing to us. Your CXR is normal or NRA-No radiological abnormality seen in roentgenogram. The shortness of breath is due to Hyperventilation Syn Chat Doctor. Loss of Appetite with loss of weight are also a sequela of Anxiety Neurosis. Do you have any anterior neck bulgeprotruding eyeballs? Do you have constant sweating? In your history you have not actually mentioned your most important Vital Parameters-Pulse RateResting Pulse Rate., Blood Pressure and Respiratory Rate. These are very important to differentiate between Anxiety and Hyperthyroidism. In addition to CXR, you should have undergone Thyroid Function Tests baseline blood and Urine Tests and a resting ECG in 12 leads. If all the above are Normal, your Anxiety Neurosis will be confirmed., Pls take a consultation with Psychiatrist for Talk Therapy or Psychotherapy to analyze the root cause of anxiety and then Medicine Therapy or Pharmacotherapy as decided by your Psychiatrist. Avoid hot spicyoily food. Take over the counter antacids. Walk for 15 mins after food. These will help to regulate Hyperacidity which may cause above type of pain in Acid Peptic DisorderAPD. Wishing you a speedy recovery., Best Regards., 