Horrible heartburn and left chest pain for 4 days

To start off, I'm a healthy 21 year old. But I have gad, panic disorder, gerd, and acid reflux. For about for days my chest had been hurting pretty badly. Sometimes I will get actual sharp or burning pains in my chest, but the heartburn has been constant. I feel pain in my stomach too. The kicker is, when I've gotten mad or worked up the last few days I've had a sharp pins and needles feeling in my left chest. Im also having random left arm pain and left back/side pain. But another thing that happens is that i feel a horrible pain building in my chest, that I can feel and hear fizzle out in my stomach seconds later. My chest muscles hurt if I move a certain way too. The last kind of pain I developed was last night and this morning. The center of my chest burns with a deep breath. That comes and goes though. I've been to the ER twice this year for this sort of thing, one being earlier this month. They've done blood tests, ekgs, x rays, ecgs, and nothing ever shows. Not sure what to do anymore. Some times I just want to give up.

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