hello sir, i feel pain in my heart everytime i smoke, even i have tried to decrease it to once a week but it still happens after smoking. can you please tell me the possible reasons for this? and yeah for a a little background check i have started smoking 4 months back and smoke one cigarette a day which as i said i reduced to once a week. is it necessary to consult a physician immediately and do ECG  or quitting smoking will help solve the problem?please help.. and yeah i am 21 years old.
Hello! Thank your for asking on Chat Doctor! Regarding your concern, your symptoms do not seem to be related to the heart. You are too young and with a short experience as a smoker, to have symptoms related to chronic smoking like angina or coronary artery syn Chat Doctor.  I think that your symptoms may be related to other causes like anxiety or musculoskeletal issues. I recommend you to perform a resting ECG and routine blood test, kidney and liver function tests, blood electrolytes, and a chest x-ray to exclude other causes. Meanwhile, I recommend you to avoid smoking, if this is the only triggering factor of your symptoms. Hope to have been helpful! Greetings! 