Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr Grief, I have been having pain just below my left breast were my ribs are. I went to my doctor on Monday and had an ultrra sound on Thursday. I am having a mammagram on Wednesday, but I have not been able to sleep because the pain is worse when I am lying down. I have taken tylenol extra strength but it doesn t seem to help. I have acid reflux which is being treated with a daily tablet of rabeprazole so I stay away from anti inflammtories. This pain started just before Christmas and seems to be getting more intense and of course I am stressing out from lack of sleep and constant discomfort which doesn t help. I have been meditating but that only helps relieve the stress but not the pain. Any suggestions? Mary
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related chest pain is more. But better to first rule out heart related chest pain because left sided chest pain is commonly associated with heart diseases. So first get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. In my opinion, you should consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its. You will need anxiolytic Chat Doctor.  Counselling along with these