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

### input:
Hi, Im a 48 yr old female and I have been experiencing pain on and off in the center of my chest and it can sometimes hurt around my left shoulder blade area.  I have been to the Dr many times, the Gastro Dr did a scope test and had a stress test done in the last 2 to 3 years.  The Dr did EKGs - normal. The Gastro Dr said that I had mild to moderate reflux and gave me protonix 2xs a day and omneprozole(sp?) at night. I also passed the stress test and was told everything was fine.  I take medicines for allergies, borderline BP and Cholesterol.   I have been doing fine the last few months but last night the pain came back. It is worse when I sit down.  I told my Dr that I thought the meds I take is causing constipation,  I have this problem alot.  Could this be causing my pain?

### output:

Respected user, hi I evaluated your query thoroughly.*Mild to moderate Gastritis with occasional Muscular spasms of left shoulder area is the clinical impression.*You need more of the lifestyle modifications than medicines for the said.*Kindly go through certain basic steps & see the difference on your own :- avoid all oily / spicy / nonveg stuffs / beverages / excess ghee / cheese / excess sugar-maintain your HY Chat Doctor. - continue omeprazole 1 hr. before lunch & dinner-have small quantity of food at intervals-avoid stress / anxiety which are your major enemies-avoid smoking / alcohol if consuming-avoid sleeping for at least 2 hours after lunch / dinner-avoid sleeping with pressure over left shoulder-do regular walk in fresh air to rejuvenate your body with enough oxygen-remain ambulatory-do regular exercises at home with specific weightage on deep breathing exercises & YOGA -- cornerstone of your treatment-have sound sleep of 8 hours-usual medicines narrated by you are not constipation producing but if it bothers to good extent as per individual body response to 