Conversation: The conversation between human and AI assistant.
[|Human|] 30 year old female experiencing dull constant pain under left rib cage. Pain began approx. 1 week before menstrual cycle, and has continued for 3 weeks. In addition to this, I have experienced abnormal mid cycle bleeding for 3-4 days. Today pain under the ribs has intensified, and spread across stomach and shoulder blade, and has become a feeling numbness and tightness. Patient also has existing conditions - MS and gallstones. Pain is not at all reminiscent of gallbladder pain.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having stress and anxiety related symptoms. Your symptoms are associated with menses and your menses are also not regular. Stress can also cause this. So in my opinion, you should consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.