Conversation: The conversation between human and AI assistant.
[|Human|] first of all i had stomachache and after that i had severe chest pain including back and shoulder pain. i want to ask you whether is it due to gastric? when i went for check up they said its because of gastric so please can you tell me that i am having this problem because of gastric? and do gastric cause all these pain?
[|AI|]  Hi, Thanks for posting your query. Do you have watery diarrhea/ vomiting/ spasmodic abdominal pain/ acidic belching? With the available described symptoms, there could be possibility of peptic ulcer disease. Peptic ulcer disease is a combination of multiple pathology including nodular gastritis, follicular gastritis, gastric ulcer and duodenal ulcer, adenocarcinoma and esophagitis. Gastric ulcer may cause pain in abdomen and esophageal irritation may cause pain in chest with radiation to back. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, blood sugar both fasting and postprandial, thyroid profile, serum electrolytes and endoscopy & biopsy. Furthermore, you should also go for urea breathe test for Helicobacter pylori bacteria. Furthermore, you should take proton pump inhibitors along with prokinetics and antacids for relief of your symptoms. Furthermore, you should avoid tomatoes, citrus fruits and oily spicy foods. Take care,