<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, Im a 48 yr old female and I have been experiencing pain on and off in the center of my chest and it can sometimes hurt around my left shoulder blade area. I have been to the Dr many times, the Gastro Dr did a scope test and had a stress test done in the last 2 to 3 years. The Dr did EKGs - normal. The Gastro Dr said that I had mild to moderate reflux and gave me protonix 2xs a day and omneprozolesp? at night. I also passed the stress test and was told everything was fine. I take medicines for allergies, borderline BP and Cholesterol. I have been doing fine the last few months but last night the pain came back. It is worse when I sit down. I told my Dr that I thought the meds I take is causing constipation, I have this problem alot. Could this be causing my pain?  <response>: Respected user, hi I evaluated your query thoroughly.Mild to moderate Gastritis with occasional Muscular spasms of left shoulder area is the clinical impression.You need more of the lifestyle modifications than medicines for the said.Kindly go through certain basic steps see the difference on your own :- avoid all oily spicy nonveg stuffs beverages excess ghee cheese excess sugar-maintain your HY Chat Doctor. - continue omeprazole 1 hr. before lunch dinner-have small quantity of food at intervals-avoid stress anxiety which are your major enemies-avoid smoking alcohol if consuming-avoid sleeping for at least 2 hours after lunch dinner-avoid sleeping with pressure over left shoulder-do regular walk in fresh air to rejuvenate your body with enough oxygen-remain ambulatory-do regular exercises at home with specific weightage on deep breathing exercises YOGA -- cornerstone of your treatment-have sound sleep of 8 hours-usual medicines narrated by you are not constipation producing but if it bothers to good extent as per individual body response to 