Conversation: The conversation between human and AI assistant.
[|Human|] I have a pain in the middle of my tummy just underneath my ribs. It is similar to hunger pains but more severe. I also have an ache in both sides of my back from the end of my shoulder blades to the bottom of my back. It was relieved a little bit with paracetamol. What do you think it may be? Thanks so much
[|AI|]  Hello, I have studied your case. If this pain is on the left side than it can be due to heart problem. He should immediately go to Er and get ECG. If there is any abnormality than he should take tablet to take care of that. If it is on right side than there is not so much to be worried. He still needs an x-ray though.Sometimes ECG is normal, and he may need stress 2 D echo. I hope this answer will be useful for him. Let me know if there is any other followup questions. Thanks