Hello,
Thank you for your query.
Your symptoms would lead me to primarily rule out
heart disease & gastrointestinal bleed..
I would:
- elicit a detailed medical, personal and family history
- do a thorough clinical examination to look for signs of
heart failure, anemia, stroke, liver enlargement, in addition to a general exam.
- do routine blood tests (
complete blood count, Esr, lipid and thyroid profile, kidney & liver function tests), a urine analysis and a stool routine test
- do an electrocardiogram, Echo cardio gram, chest x-ray and a exercise
stress test if indicated.
If any positive signs of heart function compromise, an
angiography may also be needed.
If gastrointestinal bleed is suspected, you will need an endoscopy and
colonoscopy as well to locate site
Based on your query, you have
uncontrolled hypertension and nicotine/alcohol addiction.
I recommend that you see your doctor right away to avoid serious disease progression. You need a thorough evaluation & appropriate treatment to enable you to quit smoking and alcohol and control blood pressure.
Hope this helps. At this point, seeking help and taking medications correctly & consistently with regular follow up is of utmost importance. You should discuss any concerns, that you may have, with your doctor. They are here to help.
Can't stress this enough, seek medical attention right away.
Wish you good health