Conversation: The conversation between human and AI assistant.
[|Human|] Hello; I have had pain in my upper left side for over 10 years now. Sometimes it is very painful sharp stabbing pains and I can tell it is swollen, other times like a hot knife and pain will go into my shoulder intermittently. I have seen several Doctors for this and had heart checked out etc. Gall Bladder removed, all have done nothing to help. The only time I felt relief was when I had my sub mandibular gland and 2 nodes removed, I just about danced out of hospital the pain was gone and I could tell that had an impact on this pain. Now however, it is coming back. I should mention that I have Mucha Habermanns Disease, I was sent to Virginia Mason Hospital and the test came back with this they put me on MTX but I quit taking this after about 6 mts. because of side effects it was giving me. Can you figure this out so I know whio to go to for help?
[|AI|]  Pain in left upper abdomen of sharp stabbing nature continuing for 10 year and radiating to shoulder calls for multiple differential diagnosis. You have already visited cardio to rule out any heart problem. You mentioned that your gall bladder was removed., but what was the reason. Your sub mandibular glands with lymph nodes were removed, and you were put on MTX.I would suggest you to go for a CT SCAN of abdomen to visualize retroperitoneal structures especially pancreas, also to rule out any sub Phoenix pathology.