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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Chest Pain Radiating Towards Back And Shoulder?

I am a 52 year old female who has experienced severe chest pain (in the lower middle of my chest) on several occasions. I was referred to a cardiologist and my heart tests were ok. Yesterday I experienced the same pain that radiates to the back between shoulder blades, jaw, ears and head. After the sudden pain disappeared after about20 minutes (used to be 5 minutes) I had a headache. I was referred to a Gastronologist. My question is can a gallbladder attack cause these types of symptoms?
Fri, 17 Apr 2020
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General Surgeon,  's  Response
Hello,

* As per my surgical experience, the pain lower midline chest radiating over back in between shoulder blades may be part of

- GERD with ulcer disorders
- pancreas inflammation or calcification (as pancreatitis or chronic pancreatic duct stones )
- gall bladder problems as stone or else
- biliary tree disorders as cholangitis, stricture with narrowing or else
- liver disorders
- others

However, a detailed history of type of pain, associated features of vomiting, fever and others are very vital to co relate on clinical grounds for some sort of narrowing of possibilities of underlying cause.

In a summary after clinical examination , one may require following minimum evaluations to find out the underlying cause of agony

- complete hemogram
- liver function test
- pancreatic enzyme levels
- ultrasound of the abdomen and pelvis
- CT scan or MRI abdomen ( as per the evaluation and clinician decision
- endoscopy

If any of the reports are available with you, kindly share them with me for further correspondence.

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

Take care

Regards,
Dr. Bhagyesh V. Patel
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What Causes Severe Chest Pain Radiating Towards Back And Shoulder?

Hello, * As per my surgical experience, the pain lower midline chest radiating over back in between shoulder blades may be part of - GERD with ulcer disorders - pancreas inflammation or calcification (as pancreatitis or chronic pancreatic duct stones ) - gall bladder problems as stone or else - biliary tree disorders as cholangitis, stricture with narrowing or else - liver disorders - others However, a detailed history of type of pain, associated features of vomiting, fever and others are very vital to co relate on clinical grounds for some sort of narrowing of possibilities of underlying cause. In a summary after clinical examination , one may require following minimum evaluations to find out the underlying cause of agony - complete hemogram - liver function test - pancreatic enzyme levels - ultrasound of the abdomen and pelvis - CT scan or MRI abdomen ( as per the evaluation and clinician decision - endoscopy If any of the reports are available with you, kindly share them with me for further correspondence. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel