My wrist all of my forarm my bicep and shoulder

Patient : My wrist all of my forarm my bicep and shoulder have been at a constant pain under my armpit also has a sharp pain somtimes. Im 16 and i had a brother who died of a heart attack when he was 2. I smoke alot of cigarettes could that have anything to do with it
Symptoms:  It look like a black spot is forming and my veins pop out of that arm only especialy when it hurts
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