Conversation: The conversation between human and AI assistant.
[|Human|] Sir I have been having pain on the right side of the chest below the breast bone. Sometimes it extends to the middle upper back. I had been to the physician who took ecg and x-ray but told that they are normal and that the pain is due to muscular. she prescribed me some tablets and gave me voveran injection. But I still have pain the right hand side of chest and below the breast bone. please advise.
[|AI|]  A number of reasons for your pain.: 1) Stomach ulcer: A classical history of pain increasing on eating. The treatment is generally omeprazole 30 mg +/- antibiotics depending on the tests run by your GP. An x-ray to rule out ruptured ulcer is a must2) Gall stone: Associated with flatulence as well but may present with the above-mentioned symptoms. A simple USG of the gallbladder will suffice3) Pancreatic pain: Also increases on diet and is generally very severe in nature. May radiate to the back as well and may decrease on crouching forward, although this is not a rulePancreatic profile with serum lipase and amylase is suggestedOther rare possibilities 1 Myocardial infarction2 Aortic aneurysm3)pleural pain4 lumbar stenosis/spondylosis