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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Severe Pain In Arm And Shoulder?

Hi, I have serve pain in my wing area of left arm and my left shoulder. I can't feel any pain if I touch my muscle. I have ulcer in my stomach and having nexium 30 mg for two months.spmetimes the pain is intolerable. I had ECG last week but it was normal too. I'm worried a bit. Any help please?
Wed, 3 May 2017
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Orthopaedic Surgeon,  's  Response
Dear patient. Pain in that area could be due to a number of reasons.
1) Pleuritic pain: If the pain is sharp and increases on expiration it could be this. I suggest a chest x-ray
2) Pancreatic: If the pain is radiating to the back and severe but decreases on crouching forward it could be this. A pancreatic profile is suggested

3)Gallbladder: If along with the pain you have gas flatulance or right shoulder tip pain it could be this. An ultrasound is suggested

4) Spinal: If pain is also felt in the arm along numbers or tingling or loss of sensation in the arm or even bowel or bladder loss of control it could be this. an MRI is suggested

5) Others: If it is none of the above it could be the worsening of your ulcer leading to rupture and abdominal gas collection. Make sure there is no blood in your stool and either way get a chest x-ray done immediately

Also discuss the possibility of adding amikacin and ciprofloxacin to your current medication
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How To Treat Severe Pain In Arm And Shoulder?

Dear patient. Pain in that area could be due to a number of reasons. 1) Pleuritic pain: If the pain is sharp and increases on expiration it could be this. I suggest a chest x-ray 2) Pancreatic: If the pain is radiating to the back and severe but decreases on crouching forward it could be this. A pancreatic profile is suggested 3)Gallbladder: If along with the pain you have gas flatulance or right shoulder tip pain it could be this. An ultrasound is suggested 4) Spinal: If pain is also felt in the arm along numbers or tingling or loss of sensation in the arm or even bowel or bladder loss of control it could be this. an MRI is suggested 5) Others: If it is none of the above it could be the worsening of your ulcer leading to rupture and abdominal gas collection. Make sure there is no blood in your stool and either way get a chest x-ray done immediately Also discuss the possibility of adding amikacin and ciprofloxacin to your current medication