Conversation: The conversation between human and AI assistant.
[|Human|] I ve had constant chest and back pain on left side for 19 days . Had cat scan to rule out blood clot. My doctor said with cat scan coming back alright there is no other test he can do. He is wanting me to go to a pain management doctor which I refused to do. Is there other test he could do? I m 78 years old. Thank you for your reply.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. Left sided chest pain and back pain in old age patient should be evaluated for cardiac cause first. So consult cardiologist and get done 1. ECG 2. 2d echo 3. Coronary Angiography if required. If all of the above are normal then no need to worry about cardiac cause. Pancreatitis can be the cause for back pain. So better to get done serum amylase and lipase to rule out this. Acute gastritis can also be the cause in some cases. So consult another doctor and discuss all these.