Conversation: The conversation between human and AI assistant.
[|Human|] Im stressed with work all the time and i smoke. I have consistent pain in and around my left shoulder blade, lower armpit towards my bicep,and tightness and discomfort in my upper left chest. Could it all b stress related or should i b concerned about lung cancer? I mean it feels like muscle pain or naughts in my back, I am very stubborn and tend to shrug shit off. but should i b concerned? My age is 36 and i have had a spontainious numo thorax about 8 years ago
[|AI|]  Here you have given symptoms of left chest tightness, pain in left shoulder blade along with lower armpit and biceps. As per your symptoms there are a couple of possibilities. If you have chest congestion and chest discomfort then it can be related to lungs and I suggest taking x-ray and check properly for any sort of lung issue or chest infection. If there is no chest congestion and its only tightness of left side chest then it can also be related to cardiac issue. I suggest visiting cardiologist do your ECG along with treadmill test to evaluate further. If there is no issue at lung and heart level then it is muscular pain only at left shoulder blade which is radiating to left side chest as well as armpit level. But this pain can also be indication of problem at cervical spine like loss of cervical curve or disc related issues. However for this I suggest visiting orthopedic doctor and get yourself evaluated properly and take treatment as per that. Here I suggest do visit a physio for further treatment planning as per orthopedic suggestion because physiotherapy treatment will help you to overcome the pain as well physiotherapy exercises will help you to improve the biomechanics of cervical spine, shoulder blade as well shoulder joint which will further help you to have long term relief. You can Also use hot pack at home for some more pain relief. And do apply some pain reliving ointment after the use of hot pack. I am sure this will be helpful for you if you use it properly and follow the suggestion. Take care.