Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health

Been getting stabbing pains in between my shoulder blades

Customer Question
for 6 or 7 years...
Been getting stabbing pains in between my shoulder blades for 6 or 7 years on and off now. Recently my diet was poor and I drank quite a bit of alcohol and the next day had pain on upper right side of abdomen under the rib cage. I also had blurred vision and dizziness that has lasted now for the last 2 weeks. Worried that this could be my gallbladder or liver. I have also had high blood pressure for years with 150/90 being typical. Due to this dizziness and blurred vision I also changed my diet completely over the last 2 weeks and cut all alcohol and reduced sodium to bare minimum and added lots of fruits and veggies to diet. I am 6’1 and 236 pds and now after these changes my blood pressure is now around 107/70 ranging to 125/80 and weight at 228. I also have fluttering in the upper right side of my abdomen and feel very tired or fatigued. No vomiting or nausea but had constipation and gas/bloating, when went to bathroom the stool was a mixture of brown and yellow.. Can you please provide some insight into what this might be? Thank you
Submitted: 4 years ago.Category: Health
Show More
Show Less
Ask Your Own Health Question
Answered in 8 minutes by:
6/18/2013
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 4 years ago
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 36,114
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Verified

Hello,

My name is***** and I will be helping you today.

You should get the following investigations by your primary care physician;

1) Ultrasound and a CT scan for the abdomen; to rule out gall bladder stone or chronic pancreatitis (rarely a small kidney stone may also be responsible which would be found out by these investigations). A fatty liver disease also is not uncommon for your symptoms. These are the most likely possibilities for your manifestations.

2) Upper gastrointestinal endoscopy; to rule out acid reflux (GERD / gastroesophageal reflux disease).

3) Echocardiography; this is mandatory with the past high blood pressure readings.

4) Lipid profile; Cholesterol and triglycerides are done for the routine check up.

The stabbing pain shoulder blades can be due to gall bladder stone, but it can be muscular. This is called as myofascial pain syndromes. Muscles of the neck and shoulder girdle, namely; trapezius, scalene, sternocleidomastoid, levator scapulae etc can develop myofascial trigger points. These are hyperirritable tender spots in palpable tense bands of skeletal muscle that refer pain. This can be associated with degenerative disc disease in neck causing pinched nerves. Trigger points may develop after an initial injury to muscle fibers. This injury may be a noticeable traumatic event or repetitive microtrauma to the muscles. The trigger point causes pain and stress in the muscle or muscle fiber. As the stress increases, the muscles become fatigued and more susceptible to activation of additional trigger points. The treatment is following;

1) passive stretching of the affected muscle after application of sprayed vapocoolant.

2) physical therapy; simple muscle stretch, augmented muscle stretch, post-isometric relaxation.

3) deep electrotherapy; iontophoresis, phonophoresis, short wave diathermy, electrical stimulation, high voltage galvanic stimulation, biofeedback.

4) local analgesic patch / ointment / spray

5) anti-inflammatory analgesics; Ibuprofen (Motrin / Advil)

6) ischemic compression therapy; pressure on the points

7) massage

8) steroid shots

9) acupuncture

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

We have recently implemented a new rating and feedback system. Please be aware that you are rating my courtesy and service as a professional. If you have any questions whatsoever, or there is anything I can clarify for you, please temporarily bypass the rating system by clicking “Continue the Conversation” or "Reply."

Clicking either of the lowest two options reflects poorly on me so please reply to me if there is anything else I can do to help before choosing those options. I appreciate your patience while we work out the kinks. It's important to me that you are 100% satisfied with the service I have provided you. Thank you.

Ask Your Own Health Question
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 4 years ago

Hello,

I mentioned about the myofascial pain syndrome above by editing my answer, which you may have not read, as it was added later..

I also want to mention about one condition called as irritable bowel syndrome, which too may be causing your symptoms.

Lastly all these symptoms can just be due to anxiety, which affects the autonomic nervous system and consequently the functions of the gastrointestinal tract.

It is privilege assisting you.

Dr. Arun

Ask Your Own Health Question
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 36,114
36,114 Satisfied Customers
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Arun Phophalia is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,083 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

36,114 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

13,902 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
I have acid reflux for 20 years on and off. I'm always
I have acid reflux for 20 years on and off . I'm always afraid of diseases .i spoke to U about this before but now I read that acid reflux can also cause a disease call fibrosis something where a scar… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,033 satisfied customers
I've been taking .5 mg Klonopin for 1 week straight and last
I've been taking .5 mg Klonopin for 1 week straight and last one taken was 2 days ago … read more
Onlinedoc
Onlinedoc
Ayurveda and General Physician
B.A.M.S
2,785 satisfied customers
Had a Hep C test. Result is .14. What does this mean? Is
Had a Hep C test. Result is .14. What does this mean? Is that positive? … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
741 satisfied customers
A had a heat rash a month ago and now has progressed to
Hi a had a heat rash a month ago and now has progressed to lesions on arms and legs. So itchy sometimes I feel I am under attack. Lesions will not heal. Now got athletes foot and jock itch. Please hel… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,904 satisfied customers
Recently had a tubal a week ago yesterday. Was at e.r. last
Recently had a tubal a week ago yesterday. Was at e.r. last night. All results came back stating it was due to the surgery. My thing is is the swelling and bruising is getting worse along with the kno… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,804 satisfied customers
Something moving on left by my navil. No symptoms at all. No
Something moving on left by my navil JA: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)? Customer: No symptoms at all. JA: Anything else in your medical history you… read more
Onlinedoc
Onlinedoc
Ayurveda and General Physician
B.A.M.S
2,785 satisfied customers
Hii. I got red spots on forskin and also it's dry all the
I got red spots on forskin and also it's dry all the time and itchy. So when i pull back my forskin and it's hurts some time … read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
235 satisfied customers
Been on ear drops for three days. pain is gone but ear is
been on ear drops for three days. pain is gone but ear is still swollen can't hear. how long before swelling goes away so I can hear again?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,114 satisfied customers
My physical therapist ended my treatment today because she
My physical therapist ended my treatment today because she said i gave all the same answers as I did a month ago as in moderate difficulty in doing things?my neck is really stiff from that work incide… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,114 satisfied customers
IT FEELS LIKE I CONSTANTLY HAVE A AIR POCKET IN MY THROAT.
IT FEELS LIKE I CONSTANTLY HAVE A AIR POCKET IN MY THROAT. KIND OF FEELS LIKE YOU HAVE TO BURP BUT THE AIR IS STAYING IN YOUR THROAT. I HAVE HAD THIS FEELING FOR 2 DAYS NOW. VERY UNCOMFORTABLE.… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
36,114 satisfied customers
A numbness almost tingling sensation under my left breast, I
A numbness almost tingling sensation under my left breast, I am a 26 year old male … read more
Doctor John MD
Doctor John MD
Urgent Care and Sports Medicine Doctor
Doctoral Degree
490 satisfied customers
I've been dealing with migraine the past couple days. Today,
I've been dealing with migraine the past couple days. Today, I noticed my temp is 94. Wondering why or if anything I can do to get it up? … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
741 satisfied customers
My daughter was given a shot of Depomedrol 80 About ten days
My daughter was given a shot of Depomedrol 80 About ten days ago for a sinus infection. She is 18 so she went in by herself while I sat outside with my younger children. I probably would have suggeste… read more
Dr. Scott
Dr. Scott
Doctor
880 satisfied customers
Hi, can you tell me anything about eGFR non-African American?
Hi, can you tell me anything about eGFR non-African American? It seems to be something about cancer-maybe properties to fight cancer? The old doc that I was fighting with ordered it. I'm slightly belo… read more
Susan Ivy
Susan Ivy
Health Expert, RN
Master\u0027s Degree
14 satisfied customers
I am enquiring for a 76 year old man. In 2011 he was
Hi I am enquiring for a 76 year old man . In 2011 he was diagnosed with non hodgkinsons lymphoma that he had chemo for ( rchop or a similar I believe ). He was also found to have a slow growing NET . … read more
Dr. Scott
Dr. Scott
Doctor
880 satisfied customers
I have a problem - my dad drinks waaaay too much Cola, and
I have a problem - my dad drinks waaaay too much Coca Cola, and he claims it's not hurting him at all.... he's 59 years old and he buys... 8-12 2-liter bottles of it every 1-2 weeks, all of it is gone… read more
Dr. Amit
Dr. Amit
GP & Online Health Advisor & Writer
Bachelor\u0027s Degree
944 satisfied customers
I just failed a drug screen. It was for a hospital position.
Hi there. I just failed a drug screen. It was for a hospital position. Said I was positive for Methamphetamines and Methadone??!! … read more
Dr. Mo
Dr. Mo
Urgent Care
MD
1,228 satisfied customers
I went to PC with earache. He cleaned it and sent me on my
I went to PC with earache. He cleaned it and sent me on my way two days later went to urgent care and was told I had inner ear infection. Amoxicillin didn't touch it. Three days later was told ear can… read more
Dr. Scott
Dr. Scott
Doctor
880 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x