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

### input:
The last two weeks i have been having chest pain to my back at about the same time everyday, usually evenings when Im working. The pain is very discomforting like a slow tightness. I have a trainee right now who is also stressing me out. Also Ive been really tired daily. Im in great shape and normally dont have issues like this.  Any idea what the daily pain in my chest is???

### output:

Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Your current health issues seem to be due to -Anxiety and probably high BP, by evening time, especially after days stress with trainee -lately. You need to check with your Physician and with ECG after BP checks. Though in normal health, work stress may cause chest pain from high BP with thence Other causes-as cited above-need to be ruled out, by verification with Physician/and or Surgeon. Dos-Consult with Physician who would investigate physically and by ECG and other tests with 1 weeks record of BP in morning and evening. Tb Alpha .25 mg x 2 times a day to start with.8 hrs sound sleep. Low salt / low calorie/ diet to control the weight problem if you have it. Physical Gaming would keep the body fit and would increase the stress tolerance in time to come. Add up Antihypertensives with diuretics if need be. This would fix the cause amongst the above or other possibilities. You need to treat it with Physician which should be done on priority and urgently to avoid further complications. This would resolve the complaints of yours. Constant followup with local family or specialist Physician for long term would give you long remissions in time to come, which would depend on meticulous followup treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. For early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS