Conversation: The conversation between human and AI assistant.
[|Human|] I am a twenty eight year old female and for the past 3-4 days i have had a shooting pain in my left arm that starts in my inner elbow and goes down to my fingertips.  For the past 24 hours i have also been having pain in my upper chest right above my left breast.  what could be the cause of this pain?
[|AI|]  Hello, MadamWelcome to Chat Doctor. I can certainly understand your concern. I have worked through your query in detail. The chest pain in your case is probably related to underlying gastroesophageal reflux disease or a gall stone disorder. These two conditions quite closely mimic the symptoms in your case.Hence, it is very important to evaluate for the same through appropriate tests. For evaluation of these symptoms, It's mandatory to take ultrasound abdomen as the predominant investigative modality. Avoid fried and fatty foodstuff. Avoid spices.Meanwhile, to improve your symptoms, It's advisable to consider few medications like oral pills of pantoprazole and dopamine to counteract the symptoms. Please check with your physician if he shares my view and if you can prescribe these medications to you. Further management if any is largely based on test results. Review with test reports to determine further course of action. Post your further queries if any. Thank you