The conversation between human and AI assistant.
[|Human|] my husband is experiencing a pulsating blood pumping, twitching feeling under his left rib.It does nt hurt. We were kayaking over the weekend,so could be a strain. He is 45 and his dad died in his early 70 s of a AAA. Should we be worried? going for physicals 12/28/16
[|AI|]  Hello, Your husbands symptoms could be related to local inflammation or infection. Considering the fact that he has been kayaking, a strained muscle cannot be excluded.  Coming to this point, I recommend consulting with his attending physician for a physical exam, a resting ECG, a chest X-ray study and some blood lab tests (complete blood count, PCR, ESR for inflammation).  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 
