<human>: Hi i get what seems to be heartburn in the right side of my chest (but im pretty sure its not, ive had it for a few years now) Sometimes it can cause me to be out of breath.. i also have neck pains and my shoulders grind everytime i move them.. What is this
<bot>: Hello, Regarding your concern, I would explain that your symptoms could be related to different possible causes: acid reflux, articular nerve pain in this region, a musculoskeletal pain, etcetera. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests: - A resting ECG and a cardiac ultrasound- A chest x-ray study-Complete blood count, PCR, ESR for inflammation- A cervical spine and shoulder joint x-ray study. I would also recommend trying a PPI (omeprazole, pantoprazole, etc.). If they help improve your situation, I would recommend performing a fibrogastroscopy, to investigate for acid reflux or gastritis. You should discuss with your doctor on the above issues. Hope I have answered your query. Let me know if I can assist you further.  