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

### input:
Hi. I seem to feel better now. But was in a lot of pain and considered going to hospital. I am a 41 female. Yesterday and today I have had really bad upper tummy lower chest pain .. No reflux.. Yesterday I feel bloated before the pain ..I kept burping lots today and yesterday. It seem to last about 4 hrs about 1/2 hr after having brunch which I was late having both days 1 pm ish . 2 x Grain toast yesterday with peanut butter and jam , today 4x toast . 2 with jam and 2 cheese and tomatoes . It was tight cramp sore pain that would Make me breath shallow and hard to talk because of the pain .. When I laid down I felt better . I seemed to keep burping heeps over the few hours.Im a bit scared to have dinner or breakfast as worries it might set me off again . Get the odd cold chill . I will go take my temp soon .Wonder if it was Gaul stones, IBS, really bad indigestion . I think I will try and book to see dr in the next few days .. Cheer megan

### output:

Hi. Thanks for your query and an elucidated history. Noted your history of pain in the upper abdomen and lower chest, so much severe that it made you breathe shallow and hard to talk. Lasted for 4 hours after brunch with grain toast with peanut butter with jam. Since the whole grains toast has gluten and the peanut butter may not be suitable causing you the problems, There may be gluten allergy or subacute intestinal obstruction causing all such problems, I would advise in such a condition the following:X-ray of the abdomen in standing position. UltrasonographyClinical evaluation and further investigations to have a proper diagnosis and treatment.