Conversation: The conversation between human and AI assistant.
[|Human|] The main symptom is moderate abdominal pain/discomfort for nearly 3 weeks.  It started off as minimal but has increased of late.  At times it feels near bottom of sternum but other times more into the abdomen.  Eating or not eating does not seem to make a difference.  Seems to be more noticeable when sitting at desk or in car.  Lately have slight feeling or tendency for shallow cough.  Other symptoms include pain emanating to lower back and dull in ache in right arm.  No heartburn, acid issues, or other digestive complaints.  Doctor did bloodwork and everything appears normal.  Endoscopy scheduled in 3 days.  Possible causes?
[|AI|]  Hi. Thanks for your query. Possible causes : of the pain in abdomen in the upper area spreading to the other area, without any other symptoms of heartburn, acidity or digestive problems is suggestive that the pain may be of the origin of the lower lungs or pleura, or a local problem of the abdominal wall like epigastric hernia. I would advise you to get the X-ray of the chest, ultrasonography of the abdomen, Physical examination by a General Surgeon. This will help to get a proper diagnosis and proper treatment ....