 [ Symptoms ] i have pain in my left shoulder and left chest right before i go to sleep at night i am only 30 could it be my heart  almost every night right as i am trying to fall asleep i feel a throbbing pain right above and below my collar bone sometimes i feel the pain in my chest as well i thought it was just average muscle pains from working out but the pain occurs even when i have not been working out i also gets boots of vertigo could the two be related could the pain be from an artery blockage [ Disease ] the source of this bleeding should be investigated i would advise you to see your gynecologist so that you can be properly examined