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

### input:
before 4 months i went to my family doctor because of not feeling well and then he check me out my bp is 150/90. then he tell me to go to a hard specialist but i didnt take it seriously. then after some days on my birthday i drank alcohol too much and then next day i feel vibration in my body mostly in stomach and dizziness and feels like my right hand is not present and trouble in speaking...then i found on internet that it may be the symptoms of stroke attack then i again went to doctor and he says that there is a problem in my lever and my sgpt is 57. from there my problem get start. day by day i feel unbalance in walking and from that day to today i my vision feelings are changed now my current main problem is pain in my heart and sometimes in sholder back too. and also sometime in throat. i also use tambacco  (nicotine) products. sometimes at night i get sweaty pain in my heart sometimes come and go like it never happened. i also have black stool or dark brown stool whenever i drink alcohol. i have used such medicines like concor, aldecton, amlon, netzole-d, etc. aldectone i use for only 4 or 5 days and concor i use when i feel more dizziness. i m very confused what i do now.i think alcohol damaged my brain and heart and also nicotine products do as well.at once my bp goes 200/100. but now my bp is 130/90. but heart pain is still running. what should i do or what are prolem i may have please tell me.

### output:

Hello, Thank you for your query. Your symptoms would lead me to primarily rule out heart disease & gastrointestinal bleed. I would:- elicit a detailed medical, personal and family history - do a thorough clinical examination to look for signs of heart failure, anemia, stroke, liver enlargement, in addition to a general exam. - do routine blood tests (complete blood count, ESR, lipid and thyroid profile, kidney & liver function tests), a urinalysis and a stool routine test-do an electrocardiogram, Echo cardio gram, chest x-ray and an exercise stress test if indicated. If any positive signs of heart function compromise, an angiography may also be needed. If gastrointestinal bleed is suspected, you will need an endoscopy and colonoscopy as well to locate site Based on your query, you have uncontrolled hypertension and nicotine/alcohol addiction. I recommend that you see your doctor right away to avoid serious disease progression. You need a thorough evaluation & appropriate treatment to enable you to quit smoking and alcohol and control blood pressure. Hope this helps. At this point, seeking help and taking medications correctly & consistently with regular follow up is of utmost importance. You should discuss any concerns, that you may have, with your doctor. They are here to help. Can't stress this enough, seek medical attention right away. Wish you good health