Conversation: The conversation between human and AI assistant.
[|Human|] I have a dull kicked or punched ache in centre of stomache farting and burping alot also when I eat makes it worse I dont feel full at all but always feel hungry pain runs into top of back and shoulders and down my elbows pls I want it to go whats happening is it serious
[|AI|]  Hi. Thanks for your query. This looks to be serious if there is a referred pain from the abdomen to the shoulders and arms and needs urgent investigations and clinical correlation. Since you have dull or kicked like pain in the center of the abdomen, too much farting and burping, always hunger pains it is mandatory that you need an upper GI endoscopy, CT scan of the abdomen and the tests of blood, urine and stool to get a clinical correlation by your treating Doctor to get a proper and early diagnosis and to institute a proper management.