<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have been having severe constant aching in upper back and chest area. Also, sporadic pains sharp pains same place. I have had a CT scan, chest x-ray, MRI wcontrast, and I just had an abdominal ultrasound yesterday-no news on that as of yet. My cardiologist does not think it is my heart. My PCP gave me PPIs. I have tried Prevacid, Nexium, and am now on Prilosec. Nothing helps. I am scared.  <response>: Hello dear, The symptoms as mentioned in your post suggest that it might be due to musculoskeletal pain. You can apply local painkiller spray like Diclofenac and take NSAIDs with muscle relaxants. Other causes of chest pain include:1. Any pathology in the cardiovascular or respiratory system.2. Costco Chat Doctor. Short-term, sudden anxiety with rapid breathing4. Pain from the digestive tract, such as esophageal reflux, it will be better to consult a Doctor get a physical examination done to rule out other causes. So that proper management steps could be taken. Wishing you a Good Health. Thanks take care. 