 [ Symptoms ] with lupus am i missing anything by staying out of the sun [ Disease ] you should call your doctor right away tight chest pain should not be ignored the symptoms you describe could be a heart condition that needs immediate treatment only a doctor that can examine you and run any necessary tests will be able to tell and treat you appropriately i would recommend you call your doctor or 911 right away do you have an upset stomach if yes call 911 even if you do not call your doctor asap could be anxiety but may be a heart problem