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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stomach Bloating And Shoulder Pain While Being Diagnosed With Compromised Gallbladder?

Almost 2 years ago I was taken to the emergency room for severe pain in my abdomen and my right shoulder blade area. The ultra sound showed what they called a compromised gall bladder. I went through a series of tests and it was determined that I am allergic to gluten. I have been off gluten ever since except for those horrible times when I get it by accident. Most recently I accidentally got some barley flakes in a meal. I knew after only 3-4 bites that something was wrong. Now I feel like I never really recovered from that. I constantly feel bloated and the pain in my shoulder blade is almost unbearable. I am thin and don t eat rich foods and the ultra sound did not show any stones? Kind of confused and in pain, not a good combination.
Thu, 29 Jun 2023
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Anesthesiologist 's  Response
Hello,

The following might be few conditions that fit your symptoms:
1) Acute cholecystitis meaning acute inflammation of gall bladder
2) Chronic cholecystitis
3) Gall stones
4) Muscle strain
5) Shoulder joint pathology
6) Any nerve compression

The following are my recommendations:
1) You need to undergo few tests like ultrasound abdomen and if required MRCP
2) If the tests suggest any gall bladder pathology, it is to be treated accordingly.
3) For acute disease of gall bladder, you may have to get admitted to hospital for intravenous antibiotics and pain medication.
4) Surgeon will decide if any surgery is required.
5) If there is no gall bladder pathology, clinical examination will be done along with X-ray shoulder joint if necessary.
6) For pain relief, you can take NSAIDs like ibuprofen or Naproxen.
7) If you are suffering from acute gastric ulcer, NSAIDs are not to be used. Then opioids like oxycodone and Tramadol can be used for pain relief.

So, please visit your nearest surgeon for accurate diagnosis and appropriate treatment.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Causes Stomach Bloating And Shoulder Pain While Being Diagnosed With Compromised Gallbladder?

Hello, The following might be few conditions that fit your symptoms: 1) Acute cholecystitis meaning acute inflammation of gall bladder 2) Chronic cholecystitis 3) Gall stones 4) Muscle strain 5) Shoulder joint pathology 6) Any nerve compression The following are my recommendations: 1) You need to undergo few tests like ultrasound abdomen and if required MRCP 2) If the tests suggest any gall bladder pathology, it is to be treated accordingly. 3) For acute disease of gall bladder, you may have to get admitted to hospital for intravenous antibiotics and pain medication. 4) Surgeon will decide if any surgery is required. 5) If there is no gall bladder pathology, clinical examination will be done along with X-ray shoulder joint if necessary. 6) For pain relief, you can take NSAIDs like ibuprofen or Naproxen. 7) If you are suffering from acute gastric ulcer, NSAIDs are not to be used. Then opioids like oxycodone and Tramadol can be used for pain relief. So, please visit your nearest surgeon for accurate diagnosis and appropriate treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist