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

### input:
I have alot of pressure on my right front, lower back (pressure like when you are pregnant) I always have the sensation I need to urinate, it makes my right leg go numb and causes shooting pains in my groin area. I have pain between my shoulder blades,and tightness that migrates from side to side in my chest. The pain/pressure sometimes shoots up my neck to my jaw and my blood pressure is ranging between 154-180 over 105-132.

### output:

Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that a careful physical diagnosis of different disorders that may lead to this clinical scenario is necessary to be done: - an autoimmune disorder like rheumatoid arthritis, lupus, etc.- a backbone disorder, like possible degeneration, slipped intervertebral disk, etc. - a chronic inflammatory disorder - Fibromyalgia- psychological disorder, like possible somatoform disorder. I recommend consulting with your GP for a careful physical examination and some tests : -resting ECG-chest X-ray study-urine analysis-cervico-thoracic-lumbar column chest X-ray study-electromyography and electroneurography to examine the nerves and muscles-blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes including calcium and phosphorus, kidney and liver function tests)Further immunological tests (rheumatoid factor, ANA, ANNA, ENA, etc.) should be done if suspicions are raised. Hope to have been helpful! Feel free to ask any other questions whenever you need! Greetings!