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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Left Back/chest Below Shoulder Blade?

Hi, I have a dull pain in my left back/chest just below the left shoulder blade, under the rib cage. Changing my breathing rate and volume doesn't effect it, but swallowing cold liquids does make the pain noticably more accute. I have good reason to suspect that I have the condition "Barrats oesophagus", given that my brother and mother both have had it diagnosed, and I have daily extreme indigestion pain. I have had this back/chest pain for roughly 6 months.



Do you have any ideas what it is likely to be?



Many thanks.
Sat, 12 May 2018
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Cardiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Limitation of the pain to swallowing is a strong sign to limit the reasons in the gastrointestinal tract. Generally, dysphagia or difficulty on swallowing is aggravated by cold liquids, but a family history of Barrett Esophagus can't be ruled out.

Other causes are Achalasia, Gastro esophageal reflux and esophageal stricture. You have to perform an upper endoscopy to figure out the cause.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mario Aiad
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What Causes Pain In Left Back/chest Below Shoulder Blade?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Limitation of the pain to swallowing is a strong sign to limit the reasons in the gastrointestinal tract. Generally, dysphagia or difficulty on swallowing is aggravated by cold liquids, but a family history of Barrett Esophagus can t be ruled out. Other causes are Achalasia, Gastro esophageal reflux and esophageal stricture. You have to perform an upper endoscopy to figure out the cause. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mario Aiad