Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have serve pain in my wing area of left arm and my left shoulder. I cant feel any pain if I touch my muscle. I have ulcer in my stomach and having nexium 30 mg for two months.spmetimes the pain is intolerable. I had ECG last week but it was normal too. Im worried a bit. Any help please?
[|AI|]  Dear patient. Pain in that area could be due to a number of reasons.1) Pleuritic pain: If the pain is sharp and increases on expiration it could be this. I suggest a chest x-ray2) Pancreatic: If the pain is radiating to the back and severe but decreases on crouching forward it could be this. A pancreatic profile is suggested3)Gallbladder: If along with the pain you have gas flatulence or right shoulder tip pain it could be this. An ultrasound is suggested4) Spinal: If pain is also felt in the arm along numbers or tingling or loss of sensation in the arm or even bowel or bladder loss of control it could be this. An MRI is suggested5) Others: If it is none of the above it could be the worsening of your ulcer leading to rupture and abdominal gas collection. Make sure there is no blood in your stool and either way get a chest x-ray done immediatelyAlso discuss the possibility of adding niacin and ciprofloxacin to your current medication