Conversation: The conversation between human and AI assistant.
[|Human|] ten days back my mother brought cot from roof to inside home. My mother is getting mild pain right hand side. I thought because of cot lifting. If she press the hand feels little pain. some times she says it move to back side. sometimes she says pain is below shoulder. she is already heart patient with diabetes and BP and three yrs back dr did anjio plasty. she has been using medicine from last three yrs. is this pain because of any heart problem?
[|AI|]  Hi, Anginal pain is characteristically central or retrosternal/substernal; pain may radiate to either arm (LT> RT), hand or wrist, shoulders, less often to the back of the chest. Any of these places of reference may be involved without discomfort in the chest. The relationship to exertion is then the indication that the pain is probably of cardiac origin. History of lifting unusual weight (cot) and local tenderness overhand (on pressing the hand feels little pain) suggest musculoskeletal pain and pain is of non-cardiac origin. Hope I have answered your query. Let me know if I can assist you further.