### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My major concern is that earlier, he experienced nose bleeding, chest pains and headache (lower left side of the back of his head) altogether. Hi, my boyfriend has a heart condition. He was born premature. He experienced frequent chest pains before during his high school days and then it went away for a year or so. Now, it s back. He experiences these chest pains about 3 times a week. Sometimes, the attacks come in 2 consecutive days or more. I also have a concern about him having nosebleeds every now and then for no reason at all. Recently he s experiencing headaches at the lower left side of the back of his head. He has lost his appetite and lost some weight. My major concern is that earlier, he experienced nose bleeding, chest pains and headache (lower left side) altogether. Kindly help me me please. I m really worried about him. -Joy

### output:

Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You friend seems to suffer from -?CHD with Hypertension? Coarctation of Aorta. Other regular causes of Hypertension needs to be ruled out and treated if any. Nasal bleeding with chest pains and headache are due to Hypertension. With history of heart condition and premature birth with history of chest pains during school days, Coarctation of Aorta needs to be ruled out, with expert opinion from Cardiac Surgeon. Second opinion with CHD expert-Cardiac Surgeon is advisable in your case who would investigate properly and would plan further treatment for you. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont 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 Chat Doctor 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!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS