Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation of Yours,You seem to suffer from-
Anxiety with Phobia with IHD with Angina-due to heavy
smoking and
Nicotine induced CAD(Coronary
Artery Disease).
Dear as you can sustain cardio for long time,possibility seems that You suffer from GERD with
acid reflux.
Causes of the GERD and IBS needs to be ruled out.
Probable Causes -
Possible cause in absence of more details,are-Costochondritis/ Myalgic pain/ Globus Pharyngeus/ Constrictor Pharyngeus/ Pharyngeal pouch/ SOL in mediastinum or left chest/
Hiatus Hernia /Appendicular dyspepsia/ Renal stone /
Gall Stones with dyspepsia?
I would suggest Consults with Surgeon and get physical examination and investigation,before starting any definitive treatment accordingly.
Hope this would help you to plan further of this complex illness of yours.
If need be, update any health issue 24 x 7 by a direct question tod ME, at following HCM link-
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS