Conversation: The conversation between human and AI assistant.
[|Human|] Hi am 67yr old female History Ankylosing spondylitis onset of rt side chest pain interfering with diaphragm causing few days clay stools (now clear) pain has been subsiding now acute once again gurgling gut. Pain is from high shoulder blade level thru ribs to front of chest wall Thankyou for help ideas Helen
[|AI|]  Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to different causes: - a pinched nerve or articular irradiating pain from a bulging intervertebral disc- gastroesophageal reflux-acute pancreatitis. For this reason, I would recommend consulting with your doctor for a physical exam and some tests: - a cervical spine X-ray study- a chest X-ray study - complete blood count-kidney and liver function tests-amylase and lipase plasma levels-blood electrolytes. I would also recommend taking an antacid or PPI (omeprazole, pantoprazole). If these Chat Doctor.  You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards,