Conversation: The conversation between human and AI assistant.
[|Human|] Hi there i am a 45 year old male ,a smoker ,i am 5 ft 10" and fluctuate between 12 and 13 stone and a landscape gardener . I have become more aware over the last year of the amount i sweat it doesnt happen normally during the general day to day things but after as little as 5 minutes real physical labour the center of my chest , top of the back and forearms sweat excessively to the point where i can soak a t-shirt . I get short of breathe quickly and on increasing occation get chest pain to the left side not a stabbing pain but heavy,achingas if being squeezed and pain in the left arm mainly in the inside of the elbow joint and biceps
[|AI|]  Hi thanks for asking question. Here are few possibilities.1. First excess sweating can be because o increase metabolic activity heat intolerance that is hyperthyroidism if associated palpitation, diahhrea, neurological symptom present. For its confirmation serum t3,t4 estimated.2. Second this chest pain can be muscular. Improper sleep posture, heavyweight lift can be the cause. Simple analgesic effective.3. If cough, fever and breathlessness associate then viral infection or bronchitis like cause thought.chest x-ray and pulmonary function test helpful.4. Though chances are very less ECG useful in ruling out ischemic heart disease or other cardiac cause. I hope I have solved your query. Avoid smoking. Thanks.