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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Right-sided Pain In The Abdomen, Back And Shoulder?

I m having some upper right abdominal pain, after I eat. It feels crampy in nature and doesn t happen every day, but seems to be increasing in frequency and severity. It is located right below my right rib cage on the right side in is fairly localized. I also frequently have pain in my right shoulder in the back, right along the scapula blade. The shoulder pain isn t always associated with the abdominal pain.
Wed, 3 May 2017
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Orthopaedic Surgeon 's  Response
A number of reasons for your pain.:
1) Stomach ulcer: A classical history of pain increasing on eating. The treatment is generally esmoprazole 30mg +/- antibiotics depending on the tests run by your GP. An x-ray to rule out ruptured ulcer is a must
2) Gall stone: Associated with flatulance as well but may present with the above mentioned symptoms. A simple usg of the gallbladder will suffice
3) Pancreatic pain: Also increases on diet and is generally very severe in nature. May radiate to the back as well and may decrease on crouching forward although this is not a rule
Pancreatic profile with serum lipase and amylase is suggested

Other rare possibilities
1 Myocardial infarction
2 Aortic aneurysm
3)pleural pain
4 lumbar stenosis/spondylosis

Please discuss all possibilities with your GP in the above mentioned order
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What Causes Right-sided Pain In The Abdomen, Back And Shoulder?

A number of reasons for your pain.: 1) Stomach ulcer: A classical history of pain increasing on eating. The treatment is generally esmoprazole 30mg +/- antibiotics depending on the tests run by your GP. An x-ray to rule out ruptured ulcer is a must 2) Gall stone: Associated with flatulance as well but may present with the above mentioned symptoms. A simple usg of the gallbladder will suffice 3) Pancreatic pain: Also increases on diet and is generally very severe in nature. May radiate to the back as well and may decrease on crouching forward although this is not a rule Pancreatic profile with serum lipase and amylase is suggested Other rare possibilities 1 Myocardial infarction 2 Aortic aneurysm 3)pleural pain 4 lumbar stenosis/spondylosis Please discuss all possibilities with your GP in the above mentioned order