<s>[INST] i am in college i went to see a Rhumatologist after testing positive for ANA they ran another test and it came back with even more, but he shrugged it off. I have been having terrible back pain, i have tried a massage and a chiropractor and physical therapy. my stomach has been hurting really bad below my ribs in the center right under the V. Could you tell me what is wrong? it hurts to breath sometimes and i cant get comfortable. i try to eat but it hurts my stomach and i just feel full. im taking birth control but i dont think thats hurting my stomach cause i have been talking it for awhile. [/INST] Hello. Thanks for writing to us. Positive ANA is only indicative of an autoimmune disorder but is not diagnostic of any disease. The intermittent pain that you are having could be related to a muscle pain, fatigue, depression, hormonal imbalance or vitamin D3 deficiency. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor.  </s>