Conversation: The conversation between human and AI assistant.
[|Human|] I am A 36 year old male currently with four kidney stones in my left kidney.  I am also trying to quit smoking and have been using the patch for the past week. I have been having some odd chest pains and tingling in my left upper arm.  Should I be concerned?  My blood pressure has been checked weekly and is slightly higher than normal but not much.
[|AI|]  Dear patientWelcome to this forum shall help you as much as I can. Firstly if your blood pressure is constantly on the higher side.....I suggest you consult a doctor who will start you on antihypertensives. You must restrict your salt content in diet. Now coming to chest pain......I suggest you take an ECG to rule out any heart disease and echo also to rule out any conduction abnormalities. If your ECG is normal. You do it when you get the chest pain. See that you do it twice with a gap of 4 hours. You could check on your enzyme levels by doing blood tests .so you can consult A cardiologist. If heart disease is ruled out. .then it could be a simple thing like gastritis causing pain ....for which you can have an antacid and eat less of spicy food. Please continue using patch to quit smoking .that's a good thing to do cause smoking itself can cause a lot of other diseases. If your weight is high, i suggest you must lose weight and your diet must contain lots of fruits and vegetables. Hope I could guide you and thank you