Brief Answer:
I would recommend as follows:

Detailed Answer:

Hello,

Regarding your concern, I would explain that the headaches and nosebleeds could be related to uncontrolled high blood pressure.

Have you measured your blood pressure values during these episodes?

The chest pain that radiates under your armpit should be differentiated between a musculo-skeletal pain and coronary artery disease.

For this reason, I recommend going to the ER for a physical exam and some tests:

- a resting ECG and cardiac enzymes
- complete blood count, PCR, ESR for inflammation
- kidney and liver function tests
- blood electrolytes
- a chest X ray study.

An exercise cardiac stress test may be needed if suspicions of coronary artery disease are raised.

In the meantime, I recommend you to closely monitor your blood pressure values in the next days and refer them to your doctor.

Hope to have been helpful!

Kind regards,

Dr. Iliri

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Brief Answer:
I would recommend as follows:

Detailed Answer:

Hello,

Although your exercise cardiac stress test was normal two years ago, coronary artery disease can not be excluded now.

For this reason, I would recommend performing the above mentioned tests.

Regarding the bleeding nose, I would recommend performing coagulation tests, inflammation tests (PCR and ESR) and thyroid hormone levels for thyroid dysfunction.

It is also necessary to closely monitor your blood pressure values during those episodes( if they occur again) for possible fluctuations.

You should discuss with your doctor on the above issues.

Hope you will find this answer helpful!

Wishing good health,

Dr.Iliri

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