[27F] Experiencing stabbing pain under right shoulder blade

Patient Description

A 27-year-old female is reporting a sudden onset of sharp, stabbing pain under the right shoulder blade, rated at a severity of 5 out of 10. The pain has been present for approximately 2 hours and slightly improves when moving the right arm back. The patient had an episode of shortness of breath two days ago, which has since resolved. Currently, there are no associated symptoms of fever, nausea, or vomiting. The patient has noticed a change in the color of urine, which has become more orange. There is no recent history of injury or accidents, and no other symptoms have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Gallstones: These are hard deposits in the gallbladder that can cause pain under the right shoulder blade. The pain is often sharp and may be associated with changes in urine color.

    • Treatment typically involves medication to dissolve the gallstones or surgery to remove the gallbladder.
  • Musculoskeletal Strain: Overuse or injury to the muscles and ligaments in your back can cause sharp pain. This is often associated with certain movements or positions.

    • Treatment typically involves rest, over-the-counter pain relievers, and physical therapy.
  • Kidney Infection or Stones: These conditions can cause pain in the back under the ribs, and may be associated with changes in urine color.

    • Treatment typically involves antibiotics for infections, and medication or procedures to remove or break down stones.

Please note that these are possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and avoid any movements that worsen your pain.
  2. Over-the-counter pain relievers may help alleviate your pain. Be sure to follow the instructions on the label.
  3. Stay hydrated and monitor your symptoms.
  4. Schedule an appointment with your healthcare provider for further evaluation.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe pain or pain that is getting progressively worse.
  • Fever, chills, or other signs of infection.
  • Difficulty breathing or chest pain.
  • Changes in consciousness or severe headache.
  • Blood in your urine or bowel movements.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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11 mo ago

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People Also Ask


What could cause sharp pain under the right shoulder blade?

Sharp pain under the right shoulder blade can be caused by gallstones, musculoskeletal strain, or kidney issues. It's important to consult a healthcare provider for an accurate diagnosis.


How can changes in urine color be related to gallstones or kidney issues?

Changes in urine color, such as turning orange, can be related to gallstones or kidney issues. Gallstones can affect bile flow, while kidney stones or infections can alter urine composition.


What are the common treatments for gallstones?

Common treatments for gallstones include medication to dissolve the stones or surgery to remove the gallbladder. The choice of treatment depends on the severity and frequency of symptoms.


When should I seek immediate medical attention for back pain?

You should seek immediate medical attention for back pain if you experience severe or worsening pain, fever, chills, difficulty breathing, changes in consciousness, or blood in your urine or bowel movements.


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