Conversation: The conversation between human and AI assistant.
[|Human|] 55 yr old female.  I have been having pain in the upper right abdominal area under and below ribs also to the back - 4 days now. The pain is worse when I burp or hiccup (diaphragm spasms?). Deep breaths also are difficult. Pain sometimes radiates or refers to the collar bone area.
[|AI|]  Welcome to Chat Doctor .1. Before treatment one should evaluate the cause.2. The possibilities in your case are cholelithiasis / cholecystitis, pancreatic pathology.3. Lung pathology also can not be ruled out.4. A X-ray chest PA and Ultrasound abdomen pelvis will help to come to a conclusion.5. Initially for a day you can try a painkiller - Taking in terms of musculoskeletal pain. (If it's not resolving then make an appointment to get investigations done)Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.