instruction: hi doctor I am a 24 year old female I am 7 and weigh approximately 280 labs I am overweight my question is that I have had this calf pain intermittently ever since I went bowling over a month ago it comes and goes and the pain is honestly very random when it appears it does not hurt worse with walking or working out and I really notice the pain only if I am not focused on something I work as a nurse and never notice at work it is maybe a 10 pain it is not a sharp pain sometimes it feels like I need to stretch my leg and other times it feels like a burning pain I am also having a chest pain intermittently no short of breath it changes with positioning I basically want to know your opinion do you feel it is a dot with a pe or that I could have pulled a muscle I should also note that I just started a new job which gives me a massive amount of anxiety and worry which I realize does not help with any of this I am currently taking norvasc and lisinopril for hypertension please suggest
output: hi after reviewing your info I think there are a couple of things I can tell you I am assuming you have a bilateral pain and aching discomfort and not a sharp localized pain some of the causes for your pain are most likely you have dehydration my second differential would be varicose veins medication side effects of your anti hypertensive drugs psychosomatic pain because of stress if you have a history of coagulation disturbances then I would suspect something on the lines of dot deep vein thrombosis take care of your hydration status in consultation with your cardiologist most likely this will help also discuss the side effect of your medicines second get a good sleep and watch out so ofa sleep apnea third if these do not help then work up for varicose veins I hope this helps