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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I am addicted to coffee and smoking,suffering from chest pain and fatigue

I am 20 years old 170 pounds 6 3 Don t eat as much as i would like too, I smoke cigarettes, i drink alcohol in moderation, loads of coffee due to being a security guard I work 4 shifts wed thurs Night shift, Weekends sat sun day shift so i constantly have to transition I have chest pain right over my heart right now, my left arm also feels very weird Is this fatigue, too much coffee? to much smoking...? What steps do i take, this feeling has been around for the last 3 days, on and off. Today it has been ongoing for the last 2 hours, the most its ever lasted so far also can i walk into a hospital complaining of heart pains and get an EKG? Oh, and my left eye recently started twitching randomly, I was told it is either a calcium def or fatigue...which is it and is it connected with the above problem? I appreciate any answers...as short or as long. Thank you another thing i wanted to add, I am an excessive sweater..But only on my hands and feet these last 3 days I only sweat during this chest episode, just another weird thing..
Wed, 11 May 2011
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General & Family Physician 's  Response
Hi,thanks for query.To be on safer side EKG is needed.It must be pain due to fatigue.Still your routine check up,blood pressure measurement etc.is important.Apart from this you need to stop smoking and too much of coffee,as it is nothing like that it is the coffee that keeps you awake..As you are having hectic schedule please take light diet all the time,fine time for regular exercise and take good care of your health.But do see a doctor for this pain.bye.
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Pediatrician Dr. Suryakanta Baraha's  Response
hello,
better to consult a octor. you may need for some investigations like ecg, some routine blood tests and some physical examination.its difficult to give adiagnosis without having test reports and complete examination. first thing i like to say please avoid smoking and coffee. they have many side effects. follow a good life style. take lots of fruits ,veg . regular excercises, yoga , breathing excrcises.avoid stress and take at least 7 hr sleep. but dont negelect it. consult a dr. take care
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