Conversation: The conversation between human and AI assistant.
[|Human|] Upon taking a deep breath or cough i feel pain and pressure on my left side under my ribs in my back. Pain radiates to the front left rib side and also to my left hip. I also have minimal discomfort in my left side of my pelvis/ groin area. It really bothers me more when im in a standing position and i feel more tired and weaker than usual. I have been experiencing dizzy/ lightheaded spells and at times i feel very hot and a little sweaty. I am currently taking pepcid and omemprezal for gerd and im taking prednisone, hydroxychlor, and methotrexate to treat my lupus. I also took about 600 mg of ibuprofen for pain today.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are having Lupus, better to rule out cardiac diseases first for your left sided chest pain. So get done ECG and 2d echo first. If both are normal then no need to worry about heart diseases. Worsening of HERD (gastroesophageal reflux disease)can also cause similar symptoms. You are taking oral steroid (prednisone) and methotrexate. Both of them are known to cause severe acidity and HERD. So you need to avoid stress and tension. Avoid hot and spicy food. Avoid junk food.  Chat Doctor.  Along with Pepcid and omeprazole, start prokinetic