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When Does Sharp Pain Frequently Occur Just Under The Left Shoulder?
Posted on
Sat, 21 Apr 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 21 Apr 2018
Answered on
Fri, 15 Nov 2019
Last reviewed on
Question : Hi, I have a sharp pain just under my left shoulder blade when I drink, eat or burp that last for about 2 seconds. It happens a lot but sometimes it doesn't. I can sometimes feel pressure there. I had a back workout in December 2017 and I over did it and became really sore. After the soreness went away I was left with the above symptoms. First it was just cold drinks. Then January 0f 2018 it went away so I worked out again carefully but it started again. Now it's happening more often than not and it's now with any liquids, food and burping. I was born with an hiatal hernia and diagnosed with Gerd and Gastritis years ago but it never bothered me unless I ate poorly. Could these symptoms be related to these medical conditions?
Brief Answer:
Its directly related to your GERD.
Detailed Answer:
Hello,
Most likely, based on your description, this is due to improperly managed GERD.Right upper quadrant pain is usually related to reflux disorder or gallbladder pathologyHiatel hernia is usually primary cause if GERD and reflux disorders..
I recommend the following:
1. Zantac (ranitidine) 150 mg twice a day. Zantac is an acid reducer that decreases acid production by 70%, allowing the tissues to heal. You may need to take this for a month or longer.
2. Do not lie down for 2-3 hrs after eating.
3. Avoid acidic foods - citrus, tomatoes, juices
4. Decrease caffeine (colas, coffee) and sodas in general.
5. Decrease alcohol or completely stop it.
6. If you smoke cigarettes, now is the time to stop. They increase acid production and delay healing
7 If you are overweight through the middle, that increases the risk of reflux. Try to decrease your weight (if overweight) slowly over time.
8. Eat smaller amounts at a time so there is less pressure in the stomach which can reflux acid into the stomach.
9. Avoid eating/drinking mint (it relaxes the lower esophageal sphincter which can allow more acid up).
If these changes don't help enough, it is time to see your doctor. Your dr. may want you to have an endoscopy (visualizes the esophagus, stomach, with a fiberoptic tube), or manometry (pressure testing of the esophagus).
Thanks.
Its directly related to your GERD.
Detailed Answer:
Hello,
Most likely, based on your description, this is due to improperly managed GERD.Right upper quadrant pain is usually related to reflux disorder or gallbladder pathologyHiatel hernia is usually primary cause if GERD and reflux disorders..
I recommend the following:
1. Zantac (ranitidine) 150 mg twice a day. Zantac is an acid reducer that decreases acid production by 70%, allowing the tissues to heal. You may need to take this for a month or longer.
2. Do not lie down for 2-3 hrs after eating.
3. Avoid acidic foods - citrus, tomatoes, juices
4. Decrease caffeine (colas, coffee) and sodas in general.
5. Decrease alcohol or completely stop it.
6. If you smoke cigarettes, now is the time to stop. They increase acid production and delay healing
7 If you are overweight through the middle, that increases the risk of reflux. Try to decrease your weight (if overweight) slowly over time.
8. Eat smaller amounts at a time so there is less pressure in the stomach which can reflux acid into the stomach.
9. Avoid eating/drinking mint (it relaxes the lower esophageal sphincter which can allow more acid up).
If these changes don't help enough, it is time to see your doctor. Your dr. may want you to have an endoscopy (visualizes the esophagus, stomach, with a fiberoptic tube), or manometry (pressure testing of the esophagus).
Thanks.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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