Conversation: The conversation between human and AI assistant.
[|Human|] I have pain in my upper-back in the muscles below the shoulder blades. When I eat or a little over-eat the pain begins and the discomfort subsides with a little massage in the area. I also get mild pain while swallowing food down the food pipe when acidity is high. The pain subsides with use of antacids.
[|AI|]  Dear-thanks for using our service, I reviewed your question in detail. Your back pain could be secondary to gas, because it gets worse when you eat or over-eat. It gets better when you massage the area because it helps the movement of the gas. The other situation that aggravates it is the excessive acid reflux, which can irritate the walls of the esophagus and give you pain which can radiates to the back. This pain can be so severe that can mimic a heart attack. Antacids helps this situation, and you can add Sanitizing or Cimetidine, both control the acid production and relieves the reflux. Avoid food like spicy, coffee and alcohol too. All of those changes will improve your symptoms, I hope that my advice has been helpful. Chat Doctor.