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

### input:
HELLO DOCTOR MY AGE IS 26.I WAS DIAGNOSED WITH HYPERTENSION.MY BP IS 160/100.THEN I CONSULTED WITH A CARDIOLOGIST. THEN HE PRESCRIBED TWO MEDICINE,HOPACE H 5 & NODON 5MG PER DAY.SO THAT TIME I HAD SOME CHEST PAIN,SOME TIMES PAIN IN LEFT HAND,NECK & LEFT SHOULDER. THAT TIME DOCTOR CHECKED MY LIPID PROFILE,URINE ROUTINE TEST,SUGAR LEVEL,ECG & TMT. BUT IN REPORT ALL THINGS ARE NORMAL.THEN HE TESTED MY HEART ECHO TEST,EF VALUE WAS 62% AND ALL VALVES ARE WORKING PROPERLY. BUT STILL I AM HAVING SOME CHEST PAIN THEN RECENTLY I CONSULT WITH ONE MORE DOCTOR. NOE HE CHANGED MY TABLET TO OLMEZEST BETA 20/25,ALPRAX.25 PER DAY. THEN FOR LEFT HAND PAIN & NECK PAIN I CONSULTED WITH ORTHO DOCTOR & HE TOOK MY CT FOR NECK & BOTH SHOULDRES, HE IS TELLING MY NECK HAVING PROBLEM WITH CERVICAL SPONDYLOSIS. DOCTOR ONE YEAR BACK MY WEIGHT WAS 96KG &WEIGHT 175CM. SO NOW I REDUCED MY WEIGHT TO 78KG. THEN FOR MY CHEST PAIN I CONSULTED WITH A CHEST PHYSICIAN, HE CHECKED MY LUNGS,CHEST DEEPLY.BUT DOCTOR TELLING THAT ITS A ATYPICAL CHEST PAIN.DOCTOR NOW BY BLOOD PRESSURE IS 110/70mmhg.sugar level before food 80& after food it is 90.MY CARDIOLOGIST DOCTOR TESTED MY KIDNEY FUNCTION AND VERIFIED THAT BOTH KIDNIES ARE WORKING PROPERLY. DOCTOR MY WORK NATURE IS SERVICING OF MEDICAL EQUIPMENT,IAM A BIO MEDICAL ENGINEER & DAILY IAM TAKING A SHOULDER BAG WITH A WEIGHT OF 9 KG.AND IAM TRAVELLING MINIMUM 200KM PER DAY.SO PLEASE GIVE A EXACT ANSWER FOR MY CHEST PAIN & BLOOD PRESSURE

### output:

Hello, It can be a gastritis and reflux problem leading pain in chest. Do you have any bloating, burping, upper abdominal pain, nausea associated, if yes it further supports the diagnosis? You should avoid spicy and fatty food, avoid smoking, alcohol if any and have some antacid like pantoprazole. Does this pain increase on pressing the chest, if yes it supports musculoskeletal pain as a cause of chest pain. If yes you need some NSAIDs like Ibuprofen and Diclofenac gel for local application. Hope I have answered your query. Let me know if I can assist you further. 