Conversation: The conversation between human and AI assistant.
[|Human|] Pain in my chest. It radiates down my left arm. No shortness of breath. When I bend neck down and lift my left arm it really hurts. It s only sporadic otherwise. My abdomen and diaphragm are tender. I m eating tums and taking antacid. I went to er. They did labs ekg and xray. All come back normal. Please help. I m not crazy. This pain is real
[|AI|]  Thanks for your question on Chat Doctor. In my opinion you are having muscular pain only, as your pain increased on activity. So follow these for relief in muscular pain.1. Avoid painful movements.  Avoid heavy weight lifting and strenuous exercise.2. Take good painkillers and muscle relaxant. 3. Apply warm water pad on painful area. Another possibility OS reflux disease. As you are eating spicy food and taking antacids. Better to follow these for reflux disease.1. Avoid hot, spicy food. Avoid large meals. Instead take frequent small meals.2. Avoid stress and anxiety.  Quit habits if you have any.3. Take proton pump inhibitors. 4. Go for walk after meals.5. Keep 2-3 pillows under head in bed.