Conversation: The conversation between human and AI assistant.
[|Human|] I have lower left abdominal pain, chest pain (center where ribs comes together) radiates thru to the back and burning across shoulder blades. Went to hospital for this pain months ago and not a heart issue. Doctor in ER said I had gas I am not experiencing any gas pain.
[|AI|]  Hi. Usually there are no diseases concerning the left lower abdominal pain associated with the pain you described by any anatomical connections. Yet if the Doctor has said so, the only thing I can assume is gaseous distension with volumes of sigmoid colon to become big enough o cause pressure and pain in the upper abdomen and the additional symptoms. A rare reason can be attributed to the spinal condition casing this combination of pains unless there are two different diseases. I would advise having an MRI of the spine, Standing x-ray of abdomen during the pain in abdomen and ultrasonography to rule out other intra-abdominal pathology.