If the symptoms of chest pain or breathlessness after TB treatment is new , you should see a dr to investigate as there maybe something new happening after TB infection. TB can be effectively treated but if a patient was a smoker or had TB for some time already, some damage to lungs may have occurred . Also some patients after TB infections are especially susceptible to certain types of infections like fungal infections and also in some cases can have lung tumours. For the above reasons, if you have the type of symptoms , you should see a chest physician or surgeon and do some tests including a CT scan of your chest to find out if there are any are disease processes occurring.
It is difficult to advise you without any knowledge of your age or relevant medical history or any other details of your complaint. There are many causes of left chest pain going to left arm ranging from chest wall conditions, spine conditions to heart conditions. perhaps it would be better to see a general practitioner to see if there are any serious concerns.
There are many people who stay up late at night but do not experience chest pain. I do not think it is a direct cause of your chest pain but perhaps more often its is perhaps the lack of sleep or long working hours that causes stress that can lead to all types of symptoms including chest pain. If your chest pain occurs very frequently or is getting worse or is related to exertion then you should seek medical attention to evaluate the possible causes.
Smoking is a risk factors for many diseases including heart attacks, strokes, vascular problems and also linked to a large number of cancers and lung conditions. It can accelerate the progression of arterial disease including coronary artery disease leading to heart attacks. There are many causes of heart attacks in the young including diabetes, vasculitis , familial hyperlipdeamia( genetic condition with very high cholesterol levels) .It is possible that heavy smoking can bring forward the onset of coronary artery disease. Therefore if you are still smoking at 35 , I would advise you to stop it and there will benefits even eat your age including risk reduction from cancers and arterial disease.
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