What Causes Chest Pain That Radiates To The Shoulder Blades?

Posted on Sun, 1 Jan 2017

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

Sun, 1 Jan 2017 Answered on

Mon, 23 Jan 2017 Last reviewed on

Question : Hi I have had chest pain in the upper right abdomin that rotates to my shoulderblades. I have been for ultra sound scans on all my organs & bile duct for stones nothing was found. I also had a chest xray again nothing was found. My Gp has told me I am full of gas I am just concerned as I have had the pain for nearly 3 weeks it is worth when I am out in a windy day. What is your opion I had my gall bladder removed 6 years ago. I am 5ft 8 and weight 12 stone which is probably to big. It does get worth when I get stressed I also had a friend that died of estraophacus cancer so I think I also just worry. How long should I give the pain to settle I am 47 had a back op, endrimetrious removed from my bowel but other than these things that cant be helped I normally keep well. What do you think.

Answered by Dr. Rahul Tawde (1 hour later)

Brief Answer:
It is GERD

Detailed Answer:
Hello, Thank you for posting your question on Health Care Magic.
The symptoms you have described are in favour of GERD or gastero-oesophageal reflux disease.
The chest pain you feel is oesophageal spasm .
A normal ultrasound also supports this .
I would recommend you to take Tab Esmoperazole 40 mg once a day half an hour before food for 15 days.
Avoid spicy and oily food.
If you smoke then quit smoking.
Eat and sleep on time.
Don't sleep immediately after dinner there should be atleast 45 minutes gap .
After your symptoms settle down endoscopy is highly recommended.
Hope this helps
Best wishes

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Rahul Tawde (13 minutes later)

So are you saying it is really nothing to worry about and it is normal to have the pain till it settles down

Answered by Dr. Rahul Tawde (3 minutes later)

Brief Answer:
Yes

Detailed Answer:
Hello again,
The type of pain you have described is typically seen in GERD.
Take the tablet I prescribed you ,it should settle down in 10 days.
Then go in for an endoscopy.
As if now there is nothing to worry.
But an endoscopy to arrive at a proper diagnosis is required.
Best wishes

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Rahul Tawde (5 hours later)

My Dr has prescribed Omeprazole 2x 20mg caps in the morning for 14days then go down to 1 at night after the 14 days is that ok

Answered by Dr. Rahul Tawde (34 minutes later)

Brief Answer:
Esmoperazole is better

Detailed Answer:
Hello again, omeprazole is also ok but looking at the severity of your symptoms Esmoperazole will be more effective.
Hope this helps
Best wishes

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Rahul Tawde (1 hour later)

Hi last question if there was anything wrong with my estraphagos would it have shown in my chest X-ray and bloods sorry to keep asking I am just worried. Nothing showed up on either everything was clear.

Answered by Dr. Rahul Tawde (7 minutes later)

Brief Answer:
No

Detailed Answer:
Hello again, it is okay you can voice out your apprehensions.
Unfortunately no it can't be seen in x ray or in blood tests .
Best wishes

Above answer was peer-reviewed by : Dr. Prasad