<s>[INST] hi,i have a pain in the lower left side of the chest,which i assume to be caused by alcohol and smoking.the pain is kind of uncomfortable n dull,around the pancreas,spleen area.well,stopping is an option,but may i know what exact it is.i have been smoking for 6 years and drinking so so heavily for 1 year [/INST] Hai.pls change ur life style, drinking and smoking.so many reasons  can be there in ur case. It can bedie to gastrtis, pancreatitis, cardiac related, pleuritic pains.pls get an ecg, chestxray,ultrasound abdomen, sugar level serum amylase, lipase, cholesterol levels,liver function tests, upper gastrointestinal endoscopy done.take antacids and pantoprazoke (ppi).u hav to undergo all these proposed tests.meet aphysician to rule out the c ause, gud luck </s>