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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Lower Abdomen And Shoulder?

Hi how are you? I am in a lot of pain. I have been having abdominal pain for about 2 weeks now. t is severe pain. Started out in my lower abdomen and then increased to the left side. Now it is all over (abdomen) and sometimes in my shoulder. It hurts to walk. I can't sleep properly because it hurts to lay down. When i walk fast or take a deep breath my insides hurt. It almost feels as though my insides are crushed. My stomach feels like its swollen. The pain is very very bad. Do you know what this can be? I have went to the doctor. The gave me an ultrasound and i am suppose to go Friday to profound on it.
posted on Fri, 14 Mar 2014
Twitter Thu, 12 Jun 2014 Answered on
Twitter Fri, 13 Jun 2014 Last reviewed on
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.

I wonder how is it possible that with such a classical history suggestive of peritonitis you are not yet admitted and investigated faster.

This is a classical history of peritonitis , wherein one gets pain even on walking and on lying down as your history says so. Shoulder pain and all history is suggestive of a serious condition inside the abdomen unless until proved.

I would advise such a patient to get admitted and kept on intravenous fluids and antibiotics. Patient should not take anything orally. Investigations include- ultrasonography / CT scan of abdomen if there is a doubt or to confirm the findings of Ultrasonography.
Hemogram to see for hemoglobin and whit cell count.
Urine - stool tests
Standing X-ray of the abdomen to see for gas under diaphragm,
Surgery if required anytime
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What Causes Pain In The Lower Abdomen And Shoulder?

Hi. Thanks for your query and an elucidate history. I wonder how is it possible that with such a classical history suggestive of peritonitis you are not yet admitted and investigated faster. This is a classical history of peritonitis , wherein one gets pain even on walking and on lying down as your history says so. Shoulder pain and all history is suggestive of a serious condition inside the abdomen unless until proved. I would advise such a patient to get admitted and kept on intravenous fluids and antibiotics. Patient should not take anything orally. Investigations include- ultrasonography / CT scan of abdomen if there is a doubt or to confirm the findings of Ultrasonography. Hemogram to see for hemoglobin and whit cell count. Urine - stool tests Standing X-ray of the abdomen to see for gas under diaphragm, Surgery if required anytime