Conversation: The conversation between human and AI assistant.
[|Human|] I have chest pain located around the costal cartilage at rib 4. This pain in exacerbated with deep breathing. There is no pain in the upper limbs. The pain is also increased with movement of the left arm. Blood sugar is 4.5 and blood pressure is 100/120. There is not medical history related to heart conditions, with no family history. Mother has type 2 Diabetes. There is some feeling of nausea with no vomiting.
[|AI|]  Thanks for your question on Chat Doctor. It seems muscular pain mostly as it is increased by arm movement. But we need to rule out cardiac cause first because pain is on left side. So get done ECG first to rule out cardiac cause. If this is normal than muscular pain is the cause mostly. Try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site.