Conversation: The conversation between human and AI assistant.
[|Human|] i am having pain in the middle of my back and when i swallow it really hurts. It is strange pain. It is close to my left sholder blade and when i swallow normal or with food it really hurts. The doctore had just switched my meds for Blood pressure and it did not work so we have switched back because the new medicine is not controlling my PVC s at all they were worse then ever and wiped me out. I do not think this is related but i am not sure and i really do not want to run to the doctors again. can you give me any ideas?
[|AI|]  Hithanks for your enqueryback pain during swallowing radiating to left shoulder may be due to the following reasons 1. Esophagitis involving lower end of esophagus involving diaphragm also2. May be a Mallory Weiss tear though u don't have a history of vomiting and hematemesis.....don't know whether you are alcoholic or not3. HERD may present like this4. Aortic aneurysm non-ruptured may present like this5. Anginal pain may sometimes present like this need to have following investigations. Upper GI endoscopy. Ecgc. Stress test. Cect thorax. 24 hr pH at lower esophagus may have a course of pantoprazole 40 in the meanwhiledont get tensed take care thank u