<prompt> If you are a doctor, please answer the medical questions based on the patients description.I m a 25 year old female. 5 8 and 250 lbs. I have been having chest pains on and off for about two years. It comes and goes, but everytimes it starts back, something else hurts too. Now its my chest, jaws, back, neck. I went to a cardiologist about a year ago; had a normal ultrasound. Every now and then my heart feels like it skipps a beat. No one has been able to tell me what is wrong. This all started before I gained 60 lbs. It is a dull, achy pain in the center, and left side of my chest. Dull pain in left shoulder blade. Tingling pain in jaws. Should I still suspect my heart? What else could it be?  <response>: Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms do not seem to be cardiac related. Anxiety or a musculoskeletal pain could be the cause of all this clinical scenario. Gastroesophageal reflux can not be excluded either. Coming to this point, I would recommend performing some additional tests: - a cardiac stress test for coronary artery disease- inflammation tests PCR, ESR- a chest X-ray study would also recommend trying an antacid. If this helps relieve your symptoms, it would indicate gastroesophageal reflux as a possible cause of your troubles. If all the above tests result normal, you should consider anxiety as the main cause of your symptoms. You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards, 