Conversation: The conversation between human and AI assistant.
[|Human|] 20 year old female. I have been having abdominal pain, primarily in the left upper quadrant for a few days. Also pain, stiffness, and swelling of joints. Headaches, wierd smells, fatigue, nausea, and now sudden nipple and breast pain. I have never had nipple or breast pain before even as pms.(I usually do not expierience pms) My periods have been irregular since they started and i take bithcontrol. My main concerns are the breast/nipple pai. And the abdominal pain. Any ideas?
[|AI|]  Hi! Good afternoon. I am Chat Doctor answering your query. The pain on the left side of your abdomen could be due to gastritis caused by the possible intake of any painkillers consumed by you for the headaches, etc. If not, it could be due to any intra-abdominal inflammation for which a physical examination along with blood test like a CBC, LFT, serum amylase and serum lipase would have to be done, specially if you consume alcoholic beverages. Till then, you could go for some anti-spasmodic and a proton pump inhibitor Chat Doctor.  A word of caution on birth control pills: All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. If I were your doctor, I would also go for a serum Chat Doctor determination and an ultrasound abdomen to rule this out, and then consider your symptoms of breast pain, nausea and fatigue etc. not to be due to a pregnancy, if these tests were negative. If positive, the whole management plan would change accordingly. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.