Conversation: The conversation between human and AI assistant.
[|Human|] i m 41 years old male with weight 105 kgs.and 185 cms in height. my chest remains heavy most of times. sometimes pain in both shoulders. i play tennis regularly and walk for 5 kms. got TMT done which is negative. i smoke 5 to 7 ciggrettes a day. my blood chemistry is normal. cholestrol and sugar level are normal. i take a tablet nodon h for bp. my bp shootes to 140-100 sometimes if i dont take tablet. what can be my problem??
[|AI|]  Hi welcome to Chat Doctor ..... Here most noticeable factor seems to lead high blood pressure is dear your smoking habit..... Smoking can lead endothelial damage, vasoconstriction, free radical formation all lead predisposition for hypertension and thrombosis.... Smoking in addition release elastane which damage elastic tissue of lung and can lead chronic obstructive lung disease or fibrosis alveolars like restrictive disease. Chest x-ray and spirometry done for it... So gradually decrease frequency and stop smoking. Antihypertensive medicine taken regularly... Avoid stress.... Continue daily exercise. More fruits and green leafy veg useful. Also investigate with ECG if chest pain associated with radiation to arm or neck. Take care.