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

### input:
I am having achy, dull chest pain. When it sharpens it can be difficult to breathe. It is making me a little nervous because I feel like there is something in my throat. I also have backpain behind my shoulder which seems to be connected to discomfort in my neck. I think that is majoritaly stress indused. I am concerned more on the chest pain. I have had congestion and sinus allergy symptons all week

### output:

Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation of Yours, You seem to suffer from-Sinusitis with HERD with acid reflux. As the pain increases with stress and is referred to back and is connected with discomfort in neck, it seems from -Gastritis with HERD accompanied by Sinus Congestion over last week.It's the gastritis and HERD with acid reflux which is causing more chest pain, which increases on deep breathing, or the chest sharpens with difficulty in breathing. Remedy-Consults with Physician to rule out IBS and it accompanied causes is advised. Treat the HERD and acid reflux-with PPI-prilosec(omeprazole) with gastrokinetic-domperidone-Tab Cipro with Metronidazole-1 x 2 x 5-7 days to control GI infection and sinus infection Claritin-or Loratadine x 5-7 days to control allergy and congestion. Any other cause of IBS with Constipation-like Ulcerative Colitis/ Crowns/ Internal piles/ Fissure in ANO with sentinel piles need to be ruled out. Bland diet/ non-spicy diet / plenty of fluids This would reduce chest pain and control breathing difficulty. 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-Dear, 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