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Abdominal pain radiating to the back and shoulder. Why?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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.

Answered by Dr. Shubadeep Debabrata Sinha

Education:

MBBS

Professional Bio:

Dr. Shubadeep Debabrata Sinha is a highly experienced Family Physician with over two decades of clinical practice. He specializes in comprehensive family health care, including diabetes management and infectious diseases, offering holistic and personalized treatment plans. He is currently practicing at Sinhaz Clinics & Tenet Diagnostics in Hyderabad.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

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.

Medically reviewed by Dr. Lochana. K
Published At November 3, 2020
Reviewed At July 9, 2024

Education:

MBBS

Professional Bio:

Dr. Shubadeep Debabrata Sinha is a highly experienced Family Physician with over two decades of clinical practice. He specializes in comprehensive family health care, including diabetes management and infectious diseases, offering holistic and personalized treatment plans. He is currently practicing at Sinhaz Clinics & Tenet Diagnostics in Hyderabad.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Lochana. K is a Dental Surgeon skilled in oral health care, preventive dentistry, tooth extractions, root canal treatments, cosmetic and restorative dental procedures, and patient education for maintaining good oral hygiene and overall dental wellness.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Shubadeep Debabrata Sinha is a highly experienced Family Physician with over two decades of clinical practice. He specializes in comprehensive family health care, including diabetes management and infectious diseases, offering holistic and personalized treatment plans. He is currently practicing at Sinhaz Clinics & Tenet Diagnostics in Hyderabad.

This doctor is not available for online consultations on the platform anymore.

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