<s>[INST] I had a cesarean 5 months ago but I don t think that is related. I had a 24 hour stomach viruses yesterday and now I have what feels to be gas bubbles in both my shoulders, at the tops, where they juncture with my neck. It only really hurts when I breathe in deep or laugh. How can I get this pain to go away? I have been rotating my shoulders but that doesn t seem to be helping. [/INST] Hi welcome to Chat Doctor ... This type of pain on breathing can occur also from viral muscle ache or from musculoskeletal pain..... But before that work up needed to rule out cardiac and respiratory causes..... 1.auscultation 2. EKG 3.chest x-ray 4.CRP etc.... According to cause further treatment given... If infective etiology than antibiotic might be needed... If no significant cause found than ibuprofen needed for muscular pain. Take Paradise :Pulmonologist consultation for examination and further work up... Hope this will help </s>