Conversation: The conversation between human and AI assistant.
[|Human|] Have had middle left back pain for 3 weeks...inside and under shoulder blade. Now constant over last 3 days. Tonight it has gotten pretty bad and now Rt side middle is pain too. Radiates up left shoulder and lft side of neck. Back Pain = soreness, stiffness and burning in mid back. Did not pull a muscle. Pain slightly increases with deep breathes. Its been getting worse over time. Concerned. 42 yrs old
[|AI|]  Hi thanks for posting your concern in the Chat Doctor. Considering your symptoms, I think this may be due to Gastroesophageal reflux disease or dyspepsia. Acute coronary syn Chat Doctor.  Although lower respiratory tract infection or pneumonia does not usually present with burning sensation, this should also be ruled out. The back pain may also be due to any spinal abnormality or anxiety disorder. Detailed clinical examination coupled with Investigations are needed to rule out the possibilities. My recommendation is you should consult your local physician for clinical examination. You may need the following tests-ECG- you should do this at the earliestTrop-T test to rule out Acute myocardial infarctionComplete blood count, ESR, urea, creatinine, LFT USG whole abdomenChest X-ray- Payout may have Cap Omeprazole+Levosulpiride once daily before breakfast. Please avoid tobacco, alcohol, carbonated beverages, spices. Maintain good oral HY