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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 Followed By Pain In The Shoulder Blades?

Hello. I am a 32 Y/O female. For the past two weeks I have been experiencing pain in the lower left side of my abdomen and around my belly button. Also, I have recently began experiencing severe pain between my shoulder blades. It is a sharp, deep, aching type of pain. Should I be concerned with this? Thank you for your time.
posted on Sun, 21 Sep 2014
Twitter Thu, 23 Oct 2014 Answered on
Twitter Fri, 24 Oct 2014 Last reviewed on
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General Surgeon,  's  Response
HI.
The pain you described in the lower left abdomen is suggestive of a ovarian cyst- It looks it has got twisted, so the exudated material got escaped, to the undersurface of the diaphragm.
The irriatation of the diaphragm causes the referred pain to the shoulder.
This is sufficient reason for the exploration of the abdomen by laparotomey or laparoscopy urgently.
By then go for :
Blood- complete blood picture, kidney functions tests, blood sugar fasting and post-lunch,
Urine- routine,microscopy, culture and sensitivity ( before start of antibiotic)
Ultrasonography of abdomen.
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What Causes Pain In The Lower Abdomen Followed By Pain In The Shoulder Blades?

HI. The pain you described in the lower left abdomen is suggestive of a ovarian cyst- It looks it has got twisted, so the exudated material got escaped, to the undersurface of the diaphragm. The irriatation of the diaphragm causes the referred pain to the shoulder. This is sufficient reason for the exploration of the abdomen by laparotomey or laparoscopy urgently. By then go for : Blood- complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine- routine,microscopy, culture and sensitivity ( before start of antibiotic) Ultrasonography of abdomen.