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The inhaler was probably a part of the problem for sure. The other things you describe relating to bowel movements, gas, etc., would explain a lot of the chest discomforts you feel, as with gas comes bloating or at least distension of the bowel, so that it presses upward, often at one of the flexures on the left or right side, which can irritate the diaphragm and, well, things just kind of work their way up to where you feel the pain in your chest or even your shoulder. It seems like a long way to travel, but this can happen in moments and can be quite disturbing.

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