### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Ok, yesterday I starting feeling like I have a cramp in middle of my chest, but it is very mild. Sometimes I don t even feel it. I notice if I crouch my shoulders forward I feel it, but not so much when I pull my shoulders back. So I was thinking it may be gas in my chest??? So what do you advise?

### output:

Hello, I have studied your case. According to your history and complains such kind of pain can due to compression of nerve and muscle sprain due lifting of heavy bag/gym on shoulder. When such patient comes to my hospital we usually take x-ray spine to see for severity of nerve compression. Another differential can be nerve compression due to disc bulge which may need MRI for confirmation. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing. I will advise starting antacids [proton pump inhibitors like] omeprazole 20 mg twice a day for gastric trouble. Sucralfate will protect gastric mucosa and will give protective covering. Gastric hyperacidity can lead to altered mouth taste. You may need to avoid acidic food like bakery items, smoking, alcohol, cheese, stress. Eat fresh food and soup with fruits juices. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take disregards Chat Doctor. 