Conversation: The conversation between human and AI assistant.
[|Human|] I am a 25 year old male who has had a stich like aching pain one inch below my breast bone and two and half inches over about an inch below my rib cage on the right side for about six weeks. This pain started above my belly button and has since left and came back again and seemed to move all about a general are. What is so confusing about all of this is the different pains I am having. My ribs themselves hurt if I press on them they feel like they are bruised all over. My right side pain under my rib cage feels like its radiating around to my back. If I press on the area around my belly button it is sore. My right shoulder also has seemed to be sore the last week. I take medication that regularly makes me constipated during the day but the constipation has since gotten worse in the past two or three weeks. I had a spasm like episode in the exact localized spot im having pain about six weeks ago. It lasted for about 90 seconds. I had gotten into an argument and was very stressed but also had just eaten a VERY GREASY cheeseburger and drank 2 beers about 30 mins earlier ( I stopped drinking besides a beer or two every couple months in 2011) Any ideas what is happening to me?! Please help!
[|AI|]  Hi, Thanks for your query. The pain at the bottom center of the rib cage could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done. If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely. The other causes that need to be ruled out include lung infections like pleuritic. Stopping smoking might help in reducing the symptoms do hope that you have found something helpful, and I will be glad to answer any further query. Take care