Conversation: The conversation between human and AI assistant.
[|Human|] Hello, based on symptoms, bloating in abdominal region, pain in chest,  between shoulder blades and under right shoulder blade, suspect gall bladder attack. (symptoms since Sunday 11/9).  Have appt with pcp this Friday. What would prompt me to go to emergency room if is gall bladder? More severe pain? More severe pain in particular region?(have already had heart checked year ago - all ok; digestive problems have been ongoing journey since then to figure out cause; last few days worse than ever.)
[|AI|]  Hello, Thanks for the query to Chat Doctor. Forum. Mainly pain is on the right side and so also in right shoulder joint. Possible reason may be .1 Hepatomegaly, diagnosis can be confirmed by ultrasound of liver .2 Gall bladder stone or cholecystitis, diagnosis can be confirmed by physical examination of gall bladder (Murphysis sign) .3 Thickened pleura is also the most important reason of such type of pain. Diagnosis can be confirmed by X-Ray chest as well ultrasound. In my opinion consult a physician and get his opinion as physical examination as well ultrasound of this area is very important in this case. Good luck.