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PVC, pain in the middle of the back, shoulder blade on swallowing. Cause?

i am having pain in the middle of my back and when i swallow it really hurts. It is strange pain. It is close to my left sholder blade and when i swallow normal or with food it really hurts. The doctore had just switched my meds for Blood pressure and it did not work so we have switched back because the new medicine is not controlling my PVC s at all they were worse then ever and wiped me out. I do not think this is related but i am not sure and i really do not want to run to the doctors again. can you give me any ideas?
Fri, 22 Jun 2012
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Pulmonologist 's  Response
thanks for ur enquery
back pain during swallowing radiating to left shoulder may be due to the following reasons
1. esophagitis involving lower end of esophagus involving diaphragam also
2. may be a mallory weiss tear though u dont have a history of vomiting and haematemesis.....dont know whether u r alcoholic or not
3. GERD may present like this
4. aortic aneurysm non-ruptured may present like this
5. anginal pain may sometimes present like this
u need to have following investigations
a. upper GI endoscopy
b. ecg
c. stress test
d. cect thorax
e. 24 hr ph at lower esophagus
u may have a course of pantoprazole 40 in the meanwhile
dont get tensed
take care
thank u
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General & Family Physician Dr. A.K.Pandey's  Response
you may have some thing wrong with stomach & duodenum. like peptic ulcer. try antacid medicines with physicians advise.
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