Q. I have severe abdominal pain that is radiating to the back and shoulder. Why?

Answered by
Dr. Shubadeep Debabrata Sinha
and medically reviewed by Dr. Lochana
This is a premium question & answer published on Nov 03, 2020 and last reviewed on: May 13, 2021

Hi doctor,

I waked up this morning with severe abdominal pain. It got radiated to my back and shoulder. I have a history of reflux. I took Omeprazole for having relief. But it did not help me. I took Acetaminophen. But there is no relief. Now, my pain is dull and aggravates with movement.



Welcome to

Abdominal pain can occur due to gastrointestinal causes such as gastric or duodenal ulcers or gastritis. Gastritis occurs due to H.pylori (Helicobacter pylori) infection and it gets aggravated by stress, altered diet regime, certain drugs causing increased gastric acid production or damaging stomach, alcohol intake, gastrointestinal growth with thoracic level back pain. Abdominal pain can also occur due to renal causes such as kidney stones, and urinary infections with back pain in the lumbar region. Rarely, it causes damage to the liver, pancreas, and other abdominal organs.

Kindly give a detailed history of abdominal pain. Kindly attach the investigations done previously and concomitant drugs taken. Kindly give these details to guide you further. For now, you can take Omeprazole 20 mg and its dosage can be increased to 20 to 40 mg twice daily. Acetaminophen does not work in this condition. You can take an antispasmodic like Drotaverine 40 to 80 mg or Dicyclomine 10 to 20 mg for having pain relief. Taking a CT (computed tomography) scan or USG (ultrasound) abdomen and pelvis will be ideal.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Will using Percoset cause any side-effects?

.. safe compared to Percoset. Single use of Percoset never causes permanent side effects. The side effect caused by a single dose (such as loss of appetite and difficulty in emptying bladder) will be for one day only. Once the amount of drug gets exc...   Read full

Could Omeprazole cause changes in ECG and increase the heart rate?

.. panic are the first possibilities. Sudden onset of palpitations is a very unusual sign of heart attack. None of the investigation and symptoms are compatible with the heart attack. Although there are some ECG changes like Q waves, which can be pr...   Read full

Omeprazole taken for burping is causing muscle weakness, headache and shortness of breath. Why?

Hello doctor, I have been experiencing acid problems ... I took Paracetamol last night but it gave me hyperacidity ... It is known as gastroesophageal reflux disease ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Impact of COVID-19 on Female Sexual Health
Women have been affected and still face the consequences of Coronavirus on their sexual health. Read more about the impa...  Read more»
Carpal Tunnel Syndrome in Pregnancy
Carpal tunnel syndrome in pregnancy occurs when a nerve supplying the hand is compressed at the forearm level due to the...  Read more»
Breaking the Link-Irritable Bowel Syndrome and Bacterial Overgrowth
A surplus of bacteria in the intestine causes irritable bowel syndrome (IBS). Read the article below to know more about ...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.