<human>: good evening, i have been experiencing quite cramp like pain at the very top of my stomach  no real about an inch down from in between my breast bone, it causes shortness of breath. It has been over a week now.  I have taken gaviscon but impact. Any thoughts
<bot>: Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to different causes: - gastritis or an ulcer- pancreatitis- indigestion- musculoskeletal pain or inflammation. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for the possible underlying causes: - a resting ECG- a chest X-ray study- an abdominal ultrasound-some blood lab tests (complete blood count, PCR, ESR, kidney and liver function tests, amylase and lipase levels, fasting glucose). If Davison help improve your situation and all the above tests result normal, I would recommend performing a fibrogastroscopy to investigate for gastritis or ulcer. Hope to have been helpful! Best wishes, 