12 thoughts on “Pain Under Left Shoulder Blade And Nausea

  1. Is is the left arm or right arm pain that is a worry for heart disease?
    Obviously the heart is on the left, but i seem to remember the pain is on the right. Is that right?

    • I had a heartattack at the age of 45 and it was my RIGHT arm where I felt pain. I felt absolutely nothing in my left arm, nor my jaw.

      My symptoms were; pain in my right arm from my shoulder extending down past my elbow and my fingers were numb, chest pressure (not pain) it felt as if gravity was pulling my chest through my back, sharp stabbing pain in my back between my shoulder blades, nausea, I felt very hot, sweating, shortness of breath, light headed and my heart rate felt like it had tripled. And yes, I am a woman.

      In regards to your question though… heart disease. I ignored my heart condition for a long time for alot of dumb reasons. I knew there was a problem but I didn’t want to have to deal with it and I didn’t want to admit it to anyone or myself. The first “clue” is if you have a family history (parents, grandparents, siblings, aunts and uncles) of heart disease or Coronary Artery Disease. If you do then there is a better than average chance you have it as well. The most important thing you can do at this point is to get your cholesterol checked. Some signs that you may have heart disease is if when you are exerting yourself, you get any one of the sensations discussed above on an annoying level. It doesn’t have to be constant, it can come and go. Because mine came and went I made an excuse that it couldn’t be my heart. After all, if I *really* had a heart problem the symptoms wouldn”t present themselves and just leave, I told myself they should be constant. I must have only had gas. It was an excuse I told myself for literally years. As time passed my “episodes” increased in frequency and intensity. If I over exerted myself I would have shortness of breath and a low degree of chest pain or pressure. I could feel my heart pulsating. There were times I had numbness in my fingers (poor circulation) and my feet would “tingle”. Also, my skin would get a “blotched” look and the skin under my finger and toenails would take on a blue look. All of this was due to poor circulation because of the condition of my arteries. If you have blocked arteries in your heart there is a good chance you have the same condition in your arteries in other areas of your body. If you are experiencing any of the above you need to get with a Dr and request a stress test.

  2. I have all the symptoms of an ectopic pregnancy but no positive test. Do I need to rush to the doctor?
    Swollen tender breasts, stomach pain and swelling, 15 days late on my period. Left shoulder blade hurts, under my lungs feels like there is pressure to push outward. I have lower back pain, nausea (only in the am), I am using the restroom frequently and my face is breaking out. Any opinions? If not ectopic what is going on with me?

    • Go to the doctor.

      I had all of these symptoms and I have a normal pregnancy. I originally thought it was an ectopic pregnancy because I also had pain in my lower right abdomen that was very sharp. Pain in one side of the abdomen would generally point towards tubal pregnancy.

      When are you testing?? Test in the morning when your urine is most concentrated. Go to the doctor to find out if you’re pregnant. Maybe you just are sick… illness can cause a late period.

      Good luck!!

  3. 26 weeks pregnant upper uterus sharp pains with severe nausea and pain below left shoulder pain. Normal?
    I been having pains under my left shoulder blade. It started out as sharp pain but now it’s a burning pain that now affects both shoulder blades. With the pain I have severe onset nausea and vomiting. Today, in addition to this, I have pain in my upper abdomen where the top of my uterus lays. The pain is burning and constant. Been bothering me for a few hours now. I am not sure if this is normal. I know my baby’s arms and legs are in my lower abdomen.

    • i would call the doctor and ask. it sure doesn’t sound normal especially along with the severe nausea.

  4. What are the symptoms of a bad gull bladder?
    I’m having alot of pain right below my right chest, and above the rib cage, I know this is where your liver is, and also your gull bladder. I am diagnosed with having steotosis and fibrosis of the liver, but I think it is the gull bladder that is hurting. I vommit alot and have sharp pains in this area. The doctors can’t find anything but a fatty inflamed liver. Could it be my gull bladder?
    Yes! I am having pain around my back right shoulder blade, I figured it was joint problems, or my lungs (I’m a smoker)………

    • Symptoms

      About 90% of gallstones provoke no symptoms at all. If problems do develop, the chance of developing pain is about 2% per year for the first 10 years after stone formation. After this, the chance for developing symptoms declines . On average, symptoms take about 8 years to develop. The reason for the decline in incidence after 10 years is not known, although some doctors suggest that “younger,” smaller stones may be more likely to cause symptoms than larger, older ones.

      Biliary Pain
      The mildest and most common symptom of gallbladder disease is intermittent pain called biliary colic , which occurs either in the mid- or the right portion of the upper abdomen. A typical attack has several features:

      The primary symptom is typically a steady gripping or gnawing pain in the upper right abdomen near the rib cage, which can be quite severe and can radiate to the upper back. Some patients with biliary colic experience the pain behind the breast bone.
      Nausea or vomiting may occur.
      Changes in position, over-the-counter pain relievers, and passage of gas do not relieve the symptoms.
      Biliary colic typically disappears after 1 to several hours. If it persists beyond this point, acute cholecystitis or more serious conditions may be present.
      The episodes typically occur at the same time of day, but less frequently than once a week. Large or fatty meals can precipitate the pain, but it usually occurs several hours after eating and often awakens the patient during the night.
      Recurrence is common, but attacks can be years apart. In one study, for example, 30% of people who had had 1- 2 attacks experienced no further biliary pain over the next 10 years.
      Digestive complaints such as belching, feeling unduly full after meals, bloating, heartburn (burning feeling behind the breast bone), or regurgitation (acid back-up in the food pipe) are not likely to be caused by gallbladder disease. Conditions that may cause these symptoms include peptic ulcer, gastroesophageal reflux disease, or indigestion of unknown cause. [For more information, see In-Depth Reports #19 Peptic Ulcers and #85 Gastroesophageal Reflux Disease.]

      Symptoms of Gallbladder Inflammation (Acute Cholecystitis)
      Between 1 – 3% of people with symptomatic gallstones develop inflammation in the gallbladder ( acute cholecystitis ), which occurs when stones or sludge obstruct the duct. The symptoms are similar to those of biliary colic but are more persistent and severe. They include the following:

      Pain in the upper right abdomen is severe and constant and can last for days. Pain frequently increases when drawing a breath.
      Pain also may radiate to the back or occur under the shoulder blades, behind the breast bone, or on the left side.
      About a third of patients have fever and chills.
      Nausea and vomiting may occur.
      Anyone who experiences such symptoms should seek medical attention. Infection develops in about 20% of these cases, which increases the danger. Acute cholecystitis can progress to gangrene or perforation of the gallbladder if left untreated. People with diabetes are at particular risk for serious complications.

      Symptoms of Chronic Cholecystitis or Dysfunctional Gallbladders
      Chronic gallbladder disease ( chronic cholecystitis ) is marked by gallstones and low-grade inflammation. In such cases the gallbladder may become scarred and stiff. Symptoms of chronic gallbladder disease include the following:

      Complaints of gas, nausea, and abdominal discomfort after meals are the most common, but they may be vague and indistinguishable from similar complaints in people without gallbladder disease.
      Chronic diarrhea (4 – 10 bowel movements every day for at least 3 months) may be a common symptom of gallbladder dysfunction.
      Symptoms of Stones in the Common Bile Duct (Choledocholithiasis)
      Stones lodged in the common bile duct ( choledocholithiasis ) can cause symptoms that are similar to those produced by stones that lodge in the gallbladder, but they may also cause the following symptoms:

      Jaundice (yellowish skin)
      Dark urine, lighter stools, or both
      Heartbeat may become rapid and blood pressure may drop abruptly
      Fever, chills, nausea and vomiting, and severe pain in the upper right abdomen. These symptoms suggest an infection in the bile duct (called cholangitis).
      As in acute cholecystitis, patients who have these symptoms should seek medical help immediately. They may require emergency treatment.

      Review Date: 5/15/2007
      Reviewed By: Harvey Simon, M.D., Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital.
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  5. What do you think this pain most likely is?
    I have aches in my lower right abdomen, but they’ve dulled recently. They started at about 1o’clock, and they’re here now but they dulled down. I’ve got no appetite.

    I’ve panicked it could be appendicitis, but then i remembered i do a lot of stomach crunches (around 3000 a day). I did some first thing this morning.

    What do you think this could be? Help ASAP, i’m worried, even though the pain ISN’T strong. I’m just a worrier lol.

    • Any organ in your midsection can cause pain, including your appendix, gallbladder, pancreas, kidneys, and intestines.

      Symptoms Possible Cause Action to Take
      Intense pain in the lower right side of the abdomen, possibly starting as a vague, uncomfortable feeling around the navel. You may also have nausea, vomiting, or a slight fever. Appendicitis Go to an emergency room now
      Severe pain that starts in the upper abdomen and often spreads to the sides and the back. The pain may flare up soon after a large meal, or six to 12 hours after an episode of heavy drinking. You may also have nausea, vomiting, fever, yellowish skin, and a racing heartbeat. Pancreatitis Call 911 or go to an emergency room right away. Acute pancreatitis can cause shock, which may result in death if not treated quickly.
      Extremely sharp abdominal pain, perhaps with other acute symptoms. *Pelvic inflammatory disease
      *Heart attack
      *Perforated stomach ulcer
      *Shock, from allergy
      *Diabetic emergency
      *Poisoning Call 911 or go to an emergency room right away.
      Pain in upper right side of abdomen; may spread to right upper back, chest, or right shoulder; nausea; vomiting; or gas. Gallstones If this is your first attack, call a doctor for emergency advice.
      If you can’t reach one, go to an emergency room. Don’t eat or drink anything.
      In a woman who might be pregnant: severe pain that arises suddenly in the lower right or lower left abdomen, usually without vomiting or fever. Ectopic pregnancy Call the doctor for a prompt appointment. If you experience severe abdominal pain or bleeding, call 911 or go to the emergency room right away.
      Moderate to severe cramps that wax and wane, or occasional cramps that flare up after meals, and vomiting, especially if the vomit smells like stool. Other possible signs include watery or ribbon-like stools, or no stools at all. Intestinal obstruction Go to the emergency room right away.
      Pain or tenderness in the lower left side of the abdomen, along with fever.
      You may also have nausea, vomiting, chills, stomach cramps, and either diarrhea or constipation. Diverticulitis See a doctor immediately. If you have sharp abdominal pain along with fever, chills, swelling, or nausea and vomiting, call 911 or go to an emergency room right away. You may have peritonitis, a life-threatening infection of the abdominal cavity.
      Chronic abdominal pain along with dark urine and yellowish skin and eyes. Viral hepatitis See a doctor promptly.
      Pain in the back that usually spreads under the rib cage, around the front, and into the groin. Kidney stones See a doctor promptly
      Searing, stabbing pain in the upper abdomen; pain in the back between the shoulder blades; pain under the right shoulder; nausea, vomiting, and indigestion. Gallstones or an infection of the gallbladder. See your doctor promptly. If you also experience sweating, chills, and fever, see a doctor right away
      Chronic abdominal pain in the upper right quadrant, along with a fever, sore throat, and extreme fatigue. Mononucleosis or other viral infection See a doctor promptly. In addition to taking medications, you’ll need to get plenty of rest.
      Bloody stools or bleeding from the rectum. In some cases, abdominal pain. Bleeding hemorrhoids, colon polyps, or (rarely) colorectal cancer. (Hemorrhoids and polyps rarely cause abdominal pain.) See a doctor promptly.
      In a woman: dull, constant pain in the lower abdomen along with vaginal discharge and fever. Pelvic inflammatory disease. See a doctor promptly.
      Dull, gnawing stomach pain that comes and goes. The pain is often worse when the stomach is empty and goes away after eating. You may also have indigestion, nausea, vomiting, heartburn, gas, and dark stools. *Stomach ulcer (peptic ulcer)
      *Gastritis (inflammation of the stomach lining) Take an antacid or acetaminophen if necessary, but avoid aspirin, ibuprofen, and other nonsteroidal anti-inflammatory drugs.
      Don’t drink alcohol or smoke.
      If pain persists or quickly comes back, see your doctor.
      Call 911 or go an emergency room right away if you throw up blood or anything that looks like coffee grounds; if you feel faint, chilly, or sweaty; if you have black or bloody stools, or if you feel lightheadedness, as if you would faint.
      See a doctor right away if you have sharp back pain with ulcer symptoms.
      Frequent burning pain in the upper abdomen or chest, possibly accompanied by a sour taste in the mouth, a lump in the throat, or trouble swallowing. Gastroesophageal reflux disease (GERD) Suck on an antacid lozenge at the first sign of pain. Over-the-counter acid blockers can help prevent future attacks.
      If pain persists or quickly comes back, see your doctor.
      See your doctor promptly if you have trouble swallowing, especially if solid food gets stuck.
      Vague, widespread, cramp-like pain, accompanied by bloating, tiredness, gas, and occasional nausea. You may also have diarrhea, constipation,

  6. Should I see a neurologist or different doctor?
    I am trying to find out if I should make an appointment for a neurologist or a different type of doctor? I have no insurance so am cash pay and really can not afford to spend money on a specialist for them to tell me I went to the wrong doctor. After researching prices it appears that a mri is the same price range as neurologist and a local one does his own x-rays. I am a 32 y/o female. For a year and a half I have been on gabapentin and norco per my previous doctor (PA-C) for ongoing pain in what I think would be piriformis syndrome. I have had pain in my lower back across the entire back, between my shoulder blades and my neck. I am getting severe headaches at my temples and across my forehead. The headaches come with nausea, extreme sensitivity to sound and sometimes I have mild sensitivity to light. I have an area the size of a baseball on my tailbone that is constantly sore and bruised feeling as if I fall directly on it multiple times a day. I am also getting pins and needles on my feet / legs and along the outside and backs of my hands. (Both sides.) I appreciate any help you can give. If I had a gaping wound I think it would be better as I have proof but this is something noone can feel or see and those around me just cant understand how uncomfortable I am all the time. I just look lazy when I have a hard time walking or doing something as simple as grocery shopping because of the pain.

    The PA-C had diagnosed me with sciatica but as I was not (and still really cannot) afford to get MRI / X-Ray / etc. he was going off my symptoms. My husband is willing to ask for an advance and my current doc has ordered an MRI but I know sometimes that may not show anything. Since specialist and MRI are the same price I want to get the most bang for the buck if that makes sense. I suggest piriformis because it seems to fit some of the symptoms. That is, a deep constant ache discomfort -> cold headache type pain in my outer thigh starting from my hips and extending halfway to my knee. Sitting or walking makes it worse. I end up just figiting(sp?) all day. The gabapentin DOES help take the edge off the hips / thigh area. The norco is amazing for my entire back, tailbone area and neck but because my previous doc was just a PA-C he is uncomfortable continuing to give me norco without having a known diagnosis. Every symptom is progressively getting worse. The headaches are every day now. I have been run through all OTC arthritis meds, Soma, Relafen, Topamax, Celebrex, Flexeril, 800mg Ibuprofen, Amitriptyline, and Prednisone with no relief. I have been given tramadol which nearly put me in the hospital with the most severe headache I have ever had. My PA-C suggested a local free clinic which really left a bad taste in my mouth. The intern “doctor” at free clinic told me that he has a herniated disk and that he “hangs upside down, uses lidoderm patches and takes tramadol and it is all better”. After the bad reaction to tramadol I took him the bottle of meds and asked if he would try something else and got a “nope”. That was it. “Nope.”

    P.S. Thank you Reggie R for your help and suggestions on the previous post. I was unable to add in more detail without the question getting convoluted with my extra details added in more than once so ended up deleting it and starting over.

    • I’d start with a neurologist. You may have migraines concurrently with whatever is going on in your back. Let him know that the PA-C had diagnosed you with sciatica. When you fill out the paperwork , under chief complaint, put piriformis? and you can explain in the appointment why you think you have it–the symptoms, etc. Also put down that your headaches are every day–that’s important. As I recall from my neurologist, in the paperwork, there’s a little body figure where you indicate areas of pain so you should be able to show that before having to explain it. You’ll list your current meds, and I think you should put down the meds you have taken in the past that haven’t worked also–especially your bad reaction to the Tramadol.
      Be aware that many neurologists are making their patients sign contracts in which patients agree to obtain pain meds only from the neurologist if he is the one writing the prescription. This is because patients with addiction problems are doctor-shopping. This would affect you only in that you would need to make an appointment ($$) with the neurologist every so often when obtaining your meds–unless your PA-C would be the one to write your scripts. All the best to you.