Conversation: The conversation between human and AI assistant.
[|Human|] I have some pains on the upper side of the ribs near the chest. No nhuemonia, sometimes I feel like I have difficulties with breathing, I have been prescribed with medications like myospaz, omez, prenidisol, allucid plus,Zulu. feel like there is a brokage on my oesophagus, pain on my shoulders. No traces of malaria or kind. What could it be? Doctor
[|AI|]  Hello, I have studied your case. Difficulty in breathing can be due to thoracic nerve involvement or lung parenchymal disease. You may need to investigate like HRCT, pft, MRI spine, EMG-NCV [nerve conduction study]. I will advise consulting orthopedic surgeon for clinical examination and further investigation. For these symptoms bronchodilator and neurotrophic medication can be started. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.