Conversation: The conversation between human and AI assistant.
[|Human|] I am 55 years old, 225 lbs., 5 5 . I do have high cholesteral but am on no medicine. I ve had pain in my left side under my breast from coughing so much. Today all of a sudden I have severe pain on the top of my shoulder. I ve been reading about it and it says it could be a start to a heart attack. Any suggestions?
[|AI|]  Hello, I read carefully your query and understand your concern. The pain in the shoulder and breast can be related to a cardiac cause. So, I suggest doing an electrocardiogram for further evaluation. If this diagnosis is excluded, another possible cause can be a pinched nerve in the shoulder. In this case I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor.