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Discomfort under shoulder blade, relieved after burping. Have hiatal hernia, high BP. History of pulmonary hypertension. Guide

Every once in awhile I feel like I have to burp a bit and have a little discomfort that feels like it is under the lower part of my shoulder blade on the left side. When I burp that discomfort leaves. I do have a small hiatal hernia and have not been eating very much because I haven't been really too hungry. I had a heart catherization approx. 2 yrs ago and everything was clear. They did find some early pulmonary hypertension and I have sleep apnea. I do have high blood pressure and take medication for it. Just wondering about this as I have gone to the hospital before and all they find is anxiety. My blood pressure at the moment is under control. Could the discomfort be caused by something other than a heart issue being it is on the left , more or less under my shoulder blade?
Asked On : Thu, 10 Oct 2013
Answers:  1 Views:  43
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General & Family Physician 's  Response
Sep 2013
Hello,
Thanks for the query to H.C.M. Forum.
Let me explain , why there is pain in shoulder joint on left side ?
Why this pain relieve after burp ?
All these symptoms are related to each other .
As the nerve supply of shoulder joint( left) and diaphragm ( a membrane which separates thorax and abdomen from each other) which lies just above stomach is one and same .
So when there is distension in stomach due to gas formation it presses diaphragm and vagus nerve irritate and this irritation develops pain in shoulder joint .
When burp gas release and pressure in stomach reduces hence no irritation of nerve , so no pain .
Hope I have answered your question and you understand it. If further any question I will reply.
Good luck. Dr. HET
Answered: Thu, 10 Oct 2013
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