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What Causes Pain In Top Mid Shoulder, Back Spasm And Heart Burn?

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Posted on Fri, 1 Jul 2016
Question: I have pain in top mid shoulder, back spasm feelings and heartburn feeilings.

doctor
Answered by Dr. Prof. Kunal Saha (3 hours later)
Brief Answer:
Hot compress would provide relief.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone very carefully through your query. There are three parts of your problem.

Your problem of heartburn seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and and would cause the heartburn.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omerazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. Rather than taking laxatives, I would insist you to increase your dietary fibre intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep 20 mg tablet once daily for at least 2 months (it may take time for the action to set in).
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.

Coming to the next problem, the pain in the shoulders and back seem to be due to muscle ache and muscle fatigue. You would get relief on application of hot compress. Taking paracetamol may help. You also need to see a physical therapist. He would be able to show you the right exercises that would help you.

Hope that helps.

Let me know if I could hep further.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Prof. Kunal Saha (23 hours later)
I have never had heartburn before and now it has been 3 weeks. It seems to go along with the tight lower back and pain coming and going in left shoulder. It all started together. Seems unlikely they are not all related.
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Pancreatitis needs to be ruled out.

Detailed Answer:
Thanks for writing back. Heartburn can be of insidious onset. However, if it is radiating to the back, your blood amylase and lipase levels need to be assessed to rule out pancreatitis as a possible cause. The shoulder pain still seems unrelated.

Regards
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Causes Pain In Top Mid Shoulder, Back Spasm And Heart Burn?

Brief Answer: Hot compress would provide relief. Detailed Answer: Thanks for asking on HealthcareMagic. I have gone very carefully through your query. There are three parts of your problem. Your problem of heartburn seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and and would cause the heartburn. In order to relieve yourself, you need to do the following: * Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals. * Avoid alcohol intake (if it a part of your habit). * Take Prilosec (omerazole) once daily before breakfast. * Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. Rather than taking laxatives, I would insist you to increase your dietary fibre intake. * Regular morning walk and exercise to keep the bowel movements proper. * If I had a patient like you I would perhaps have suggested Prodep 20 mg tablet once daily for at least 2 months (it may take time for the action to set in). * Take curd or yogurt on daily basis. It contains beneficial bacteria and should help. Coming to the next problem, the pain in the shoulders and back seem to be due to muscle ache and muscle fatigue. You would get relief on application of hot compress. Taking paracetamol may help. You also need to see a physical therapist. He would be able to show you the right exercises that would help you. Hope that helps. Let me know if I could hep further. Regards