Suggest Remedies For Pain In Back Under Left Shoulder Blade

Posted on Fri, 4 Mar 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 4 Mar 2016 Answered on

Fri, 13 May 2016 Last reviewed on

Question : I am taking prilosec otc for refux issues. Pain in back under left shoulder blade. All blood test normal. Ultrasound on pancreas,gallbladder,liver, normal. Still have pain after eating and while sleeping and stool is pale yellow almost white sometimes and loose for about a month now. I have been eating yogurt everyday to help replenish good bacteria.

Answered by Dr. Amit Jain (13 hours later)

Brief Answer:
Switch to rabeprazole and domperidone

Detailed Answer:
Hello! Thanks for putting your query in HCM. I am Dr.Amit Jain (DM, Gastroenterologist).

If pain is occurring after taking meals and while sleep, suggest the symptoms of reflux disease is not being well controlled by prilosec. I will suggest you to take more potent proton pump inhibitor like rabeprazole 40mg along with a prokinetic agent like domperidone30 mg once a day before breakfast

Also I will suggest you some lifestyle modifications like:
1. Avoid spicy food, Tea coffee, and citrus fruits and fatty meals
2. Don' lie down at least for 2 hrs after any meal
3. Take small and frequent meals
4. Don't drink water after taking meals
5. Do regular exercise
6. Wear loose clothes

Pale or white stool may be due to diet you are taking or may be due to liver disease. It usually happens in obstructive jaundice. So I will suggest you to get liver function tests and an ultrasound abdomen. If both are normal then there is nothing to worry and it is due to diet you are taking.

I hope I have answered your query. If you have any further query I will be happy to answer that too. Wish you a good health

Above answer was peer-reviewed by : Dr. Prasad