Conversation: The conversation between human and AI assistant.
[|Human|] I have soreness / sensitive to touch on the bottom of my rib cage on both sides, sporadic sharp pains on both side of my abdomen and my upper back feels like body aches.  I also felt like a ripping feeling on the top of my abdomen.  This has been going on for a few days.  No fever, no vomiting or diarrhea.
[|AI|]  Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. This may indicate chronic pancreatitis which is caused either by alcohol consummation or biliary stones. In most cases it can be regulated by medications which include insulin supplements and enzymes for digestion Also alcohol is forbidden in these cases, and you should eat less fatty food, less sugar and more vegetables and boiled food. Also, avoid cytotoxic medications. If there is no improvement then surgical therapy may be considered and include Chat Doctor.  This is last option, and you should consult your doctor about this. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.