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Suggest Remedy For Severe Back And Shoulder Pain

Posted on Mon, 23 Feb 2015

Question: Should I contact family doctor or surgeon or am I OK? Last night, for 12 hours from 4pm to 4am, I had severe back pain from shoulders to lower back, chills, nausea accompanied by some pressure and mild pain in upper right side in area of liver. Less than 3 weeks ago I had laproscopic gall bladder removal because liver enzymes were in mid 200s and high 60s. An endoscopy showed inflamed gall bladder pressing against the liver. Not sure if this indicates a problem related to surgery and conditions leading to surgery or might be something different, so don't know which doctor to contact.

Answered by Dr. Rakesh Madhyastha (10 minutes later)

Brief Answer:
Gastiris secondary to prednisolone

Detailed Answer:
Hello

Thanks for the query

From the history you have given it is most likely to be gastritis secondary to the prednisolone you are taking. Anti gastric medication like omeprazole once a day before food should help.
To answer your questions, I think it is better to meet your surgeon in this regard, he is the best person to assess abdominal discomfort

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Rakesh Madhyastha (5 hours later)

I have taken the prednisone for close to 10 years and never had anything like this. I was on 5mg for several years and now down to 3mg. I have never had chills like this, shaking with cold,unable to get warm.
Are prednisone and prednisolone the same??
Thank you, I will contact the surgeon, and that was my primary question

Answered by Dr. Rakesh Madhyastha (3 hours later)

Brief Answer:
Prednisone is the precursor

Detailed Answer:
Hello

Thanks for getting back

Gastritis could have got aggravated secondary to the stress of surgery, pain killers given and also prednisolone.

Prednisone is precursor of Prednisolone. Prednisone gets concerted to prednisolone in the liver.

Please get back to me once you have consulted the Surgeon. We shall discuss on the same.

Wish you good health.

Regards

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Above answer was peer-reviewed by : Dr. Raju A.T