Conversation: The conversation between human and AI assistant.
[|Human|] On humira for us, weekly shots due to inability to gain remission. Last week began having right shoulder pain and pain in the middle of my chest at the bottom of my rib cage. Recently off prednisone taper so other joints hurts as well but the shoulder pain is a deep harsh pain at times hard to life my arm.
[|AI|]  Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have abdominal pain with acid reflux. Well there can be many reasons for symptoms you mention in query like fibromyalgia, nerve compression in condition like cervical spondylosis, muscle spasm or cardiac problem. I would suggest you to consult cardiologist for proper diagnosis first to rule out more serious condition. Doctor may order tests like ECG, TMT, complete blood profile along with check vitals. Doctor may prescribe isosorbide nitrate m aspirin, beta blockers, crusade and sedatives. Doctor may refer you to orthopedic surgeon if there is no heart problem. Hope your concern has been resolved. Get Well Soon. Best Wishes,