Conversation: The conversation between human and AI assistant.
[|Human|] hi there I have a pain in my chest - left side, constant for 2 yrs now, constant  painful sharp pains in shoulder blades. Last Thurs my neck and jaw ached too - took ibufuren, eased it. Worse on mornings or its just when i notice it more, also just as i wake strong pulsing lower back sometimes in head too.
[|AI|]  Hi thanks for contacting Chat Doctor... This left sided chest pain also referred to shoulder blades, so cardiac causes has to be ruled out .... Investigate with. ....1. Blood pressure measurement 2.ECHO 3.Treadmill test 4. Angiography (only if needed)Is no cardiac causes present than thus could be from musculoskeletal pain which needs proper sleep posture and analgesic tablet .... Consult pulmonologist with keeping my answer in mind .... Take care .....