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

### input:
i have been experiencing burning right thoracic chest/flank pain more severewhen running. the nurse practitioner thought i had a walking pneumonia because she could here wheezing down in that lobe, 2v cxr negative for pneumonia but shows osteophytes along several spine joints anterior side could these be causing the pain.. she has treated with steroid shot, antibiotics, inhaler and yet no improvement in 8 days...

### output:

Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation, You seem to suffer from-? Undetected Hepatitis with accompanied pleuritic pains on right side, which is causing more severe pains while running. Possibility of Amoebic hepatitis / or Hepatitis needs to be ruled out by Consults with Physician and by needful investigations as USG/ CT abdomen to confirm the causes and plan needful treatments. Remedy-Add NSAIDs, and add AKT- after getting confirmations from hidden / undetected Tb Pleuritic with accompanied hepatitis, with diaphragmatic pleuritic. Consults by a team of Physician and Chest Physician would be rewarding with better management of burning / chest pain -on running. Other possibilities of -HERD with Gastritis / Right Colitis/ Cholecystitis, Right Renal Stones or Pyelonephritis needs to be ruled out, before starting further treatment in your case. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS