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What Causes Pain Under The Right Scapula In A Cardiac Patient?

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Posted on Wed, 13 Apr 2016
Question: Thank you. I am a Cardiac patient, with ICD implanted, { replacement in 2013 ]; and I am on following medications. 25 mg Carvedillol x 2. 162 mg ASA, 10 mg Zetia and 20 mg Crestor. I am NOT diabetic, nor have hypertension; nor I am obese; do NOT smoke nor drink alcohol.
About 2 hours back, I started to feel "pain" under right scapula and was "burping". I have taken another 162 mg ASA [ thereafter ] and have been drinking water. Usually, I can fall asleep, in abo9ut 10 minutes but tonight I have NOT. I am also bit more thirsty-compared to other times. I do not have any breathing problem.

I wonder if you may have any suggestion, for me. I have a Cardiologist, who I believe, lives in NYC - Dr. XXXXXXX M. Hayes and I also consult Dr. Skipitaris - an EP at the Lenox Hill Hospital; for my ICD. I cannot reach, any of them, at this time.
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Answered by Dr. Dr. Meriton Siqeca (2 hours later)
Brief Answer:
Nothing to worry about; some tests to exclude

Detailed Answer:
Greetings, Sir. Thank you for your question and welcome to Health Care Magic. I understand your concern.

Well, this is a localized pain in one point which is your right scapula. A lot of phenomena are produced when the within ribcage pressure is raised, both physiologically or pathologically. As this pain is localized and has not migrated nor radiated to other areas, it makes me think that there is a high probability that there is nothing to worry about and that this may also be a symptom of assuming inappropriate positions during sleep or everyday activities. Therefore, I would recommend you to take an ibuprofen, also to check if there is any pain relief whatsoever. If the pain you are describing is unbearable, then it is recommended to seek medical attention as soon as possible.

An appropriate thing to do, and this is just to exclude any suspicion, is that a plain chest X-ray should be carried out, to assess whether there could be any pathological phenomenon in the right side of the chest, that could be causing this pain.

I hope I was of help. Feel free to ask follow-up questions, as I am ready to help.

Best regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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What Causes Pain Under The Right Scapula In A Cardiac Patient?

Brief Answer: Nothing to worry about; some tests to exclude Detailed Answer: Greetings, Sir. Thank you for your question and welcome to Health Care Magic. I understand your concern. Well, this is a localized pain in one point which is your right scapula. A lot of phenomena are produced when the within ribcage pressure is raised, both physiologically or pathologically. As this pain is localized and has not migrated nor radiated to other areas, it makes me think that there is a high probability that there is nothing to worry about and that this may also be a symptom of assuming inappropriate positions during sleep or everyday activities. Therefore, I would recommend you to take an ibuprofen, also to check if there is any pain relief whatsoever. If the pain you are describing is unbearable, then it is recommended to seek medical attention as soon as possible. An appropriate thing to do, and this is just to exclude any suspicion, is that a plain chest X-ray should be carried out, to assess whether there could be any pathological phenomenon in the right side of the chest, that could be causing this pain. I hope I was of help. Feel free to ask follow-up questions, as I am ready to help. Best regards, Dr. Meriton