<s>[INST] Hello, this started about a couple of months ago but was starting to die down, its came back with a vengence today. Basically it started with chest and rib pain and within a day had moved into my arm. I went to the walk in centre and was told it was probably muscular despite having my blood pressure taken 3 times until the result was average. Being told this, I went home and just tried relaxing as much as I could. Unfortunately it got worse and worse and I would get dizzy spells and all sorts, after 3-4 months of pain it was starting to feel better and the fatigue I was also experiencing was starting to go away. With only a week of me feeling better it has came back and I feel rather unwell, my arms chest back and so on are very painful, Im feeling really dizzy also. My underarms are probably thew worst. Thankyou for reading x [/INST] Hello, High blood pressure stays high; it doesn't come down with rest and agitation and pain do. Cannot say in your particular case, but the only connection between chest and arm pain and dizziness would be a LOWERING of the blood pressure (or anxiety) which would be from a heart issue. But heart pain is not likely to be constant for weeks.  It is not elicitable by pressing on ribs and arms, and it is not both underarms. In theory serious lung disease could affect the torso, but nearly always people complain of lung/breathing in that context. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.  </s>