Conversation: The conversation between human and AI assistant.
[|Human|] I have a sever pain on my shoulder around the scapula bone. This pain radiates to my left arm. I can not sleep on my left side because of it aggravates the pain.So far I have been given antibiotics but no improvement. I am currently on medication for the eradication ulcer since I was tested positive to H.Pylori. The pain is there and it is tough. What could this be? Please advice me, I am so worried.
[|AI|]  History to hear you are in painPainful shoulder could be caused by many medical conditions: fracture of the shoulder bones, dislocated shoulder, cervical radiculopathy, impingement, rotator cuff injury, any collagen vascular disease, tendon rupture, sprain/strain, infection... There are just so many probable causes and only a good history and physical examination by a Doctor can help to get the exact cause. However, in all cases, pain medications will be needed to relief you. With a history of gastritis and on treatment for gastritis due to H pylori, non-steroidal anti-inflammatories are to be avoided in your case. I will advise you get pain medications/steroidal anti-inflammatory medication like prednisolone for say 5 to 7 days and observe. If the pain continues to be intense you will need to see a Doctor for evaluation and alternative managements. Hope my answer will help you Best regards