<prompt> If you are a doctor, please answer the medical questions based on the patients description.hi,i have a pain in the lower left side of the chest,which i assume to be caused by alcohol and smoking.the pain is kind of uncomfortable n dull,around the pancreas,spleen area.well,stopping is an option,but may i know what exact it is.i have been smoking for 6 years and drinking so so heavily for 1 year  <response>: HAI.pls change your lifestyle, Chat Doctor. So many reasons can be there in your case. It can Bede to gastritis, pancreatitis, cardiac related, pleuritic pains.pls get an ECG, Chester, ultrasound abdomen, sugar level serum amylase, lipase, cholesterol levels, liver function tests, upper gastrointestinal endoscopy done. Take antacids and pantoprazole PPI.u had to undergo all these proposed tests. Meet physician to rule out the ca use, God luck 