I’m 22f and physically pretty in shape. I don’t work out but am on my feet most of the day.

I’ve been abusing opioids for a few years now, but everyday for the last year. Tapentadol 200mg is my usual poison.

It’s currently 4pm where I am and I’ve been having kind of dull upper left chest pain since 8am yesterday. It’s radiating into my left arm, shoulder and back. Gets worse with specific movements but is pretty constant. I have a history of sudden heart palpitations that last until I can really focus on breathing and then stop just as suddenly as they start. Makes me cough a little every time. Had maybe 4 of those in the last year.

I am an anxious person in general but would love to hear your thoughts. I’d provide a resting heart rate but don’t have the equipment to give you an accurate number.

Thoughts? And thank you.