Conversation: The conversation between human and AI assistant.
[|Human|] I have upper back pain on both sides, chest tightness both sides and underarm pain. I had full heart work up and it was cleared. I had an upper endoscopy, lower abdominal ct scan, and gall bladder ultrasound. All were fine. I have some gastritis everyday. I am wondering if I should have my lungs or spine checked. I dont have any trouble breathing or pain when breathing, but have read early lung cancer can cause this pain. Any ideas what could cause this?
[|AI|]  Hello Thanks for posting your query. Upper back pain and chest tightness seems to be due to muscle spasm. As your heart workup, lower ABD ct, ultrasound are fine, do not worry. Also, it is not sign of early lung cancer. Back stretching exercises will be helpful to relieve the spasm. Doing hot fomentation and applying muscle relaxant gel will be also helpful. Hope this will help regards.  Chat Doctor. Orthopedic Surgeon.