Mayo Clinic Connect
Has anyone experienced severe left shoulder pain, down the upper arm, up the neck to the ear, approximately 15 mins after eating. This pain usually lasts for three hours after eating a meal.
I know this is an older topic, but I have experienced a lot of these symptoms. Doctors are also stumped. I don't get pain down the arm, but I do get pain in and around the left shoulder blade after eating, mostly grains, high fiber food. I don't have reflux or GERD either. I do get esophageal spasms while eating cottage cheese and yogurt, but not any other cold foods or drinks. The only physician who has come up with anything is the ER doc who sent me for an MRI of my thoracic spine, which showed herniated thoracic discs touching the cord.
I also get migraine flare-ups and the doctor said the same HNPs could be causing referred pain that is triggering the migraines because quite often there is the same shoulder pain associated with migraine.
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@debkl Hi, there! Please do not be offended. I am neither kidding nor trying to play a doctor on TV. But these symptoms I have, with a bunch of others, and I know what causes mine. Maybe it will give some clues. To start off, I would bet that you have some form of a systemic disease of mis-folding proteins these precursors of trouble are called prions. made in the liver, and distributed around the body in the blood. It is inherited from either parent. They live a couple hours, clone themselves a time or two, then die, then deposit their carcases wherever they can fit in the body. There are nearly 2000 formats of this process, including Lupus, Alzheimers, Crohns, LECT2….. Anyway, One that latches on to the shoulder tissues eventually is called Gelsolin. That is mine. It is also called Merotoja's Disease or Finnish Amyloidosis. As each of these dead prions, attaches itself, it attracts others, then forms little tubes filled with water and other stuff. Eventually this deposit damages the ability of the tissue to carry out its functions, whether it is nerve, muscle, fat, skin, bone, tooth, eye, whatever. And it is always fatal after a while. Gelsolin grows very slowly, often not being detected before age 70. It can be detected fairly readily then with a simple assay, SERUM Free Lite Chain (c)BindingsSite(Birmingham UK and Seattle). It measures the Kappa and Lambda proteins in miligrams per serum deciliter (NOT PLASMA!). Mine is about 3.0 mG/dL Your local doctor can order it, but it must be sent to one of the national quality labs for analysis, such as ARUP in Salt Lake City; Quant (Mayo-MN), or Boston Gen. There is a lot more info available at many sites. Amyloidosis.org. Alnylam.com Cleveland Clinic NIH.gov, etc. https://bit.Ly/1w7j4j8 "Amyloid and Old Karl"
Hmm, thank you. Never heard of it, but I will look into it and bring it up at my PE next month.
Confusing problem. I assume you have had a cardiac work-up. Nerves from area under diaphragm can cause pain on the left upper part of the body, such as reflux or from a vascular problem.
Yes, after going to ER twice thinking it was cardiac (my father had back pain that turned out to be cardiac), I had a cardiac work-up, plus ortho, and gastro.
Hi, I found this thread about half hour ago while googling the same question. I've been reading many of the replies.
Sadly I'm one of the masses on this thread who suffers the painful left shoulder after eating.
There has to be something official this is called though, because so many of us share those exact same three symptoms;
* Shoulder pain,
* We all have said "Left" shoulder,
* After eating.
Being stuck at home all day in a wheelchair, I get really bored, so I might create something that can enter health/pain details many have posted and see if I can find a trigger for this.
Liked by Kanaaz Pereira, Connect Moderator
Thanks to all of you for your thoughtful replies. I did have a small update on my individual condition.
I had a CT scan came back completely clear which I was simultaneously thankful for and slightly disappointed that it didn’t identify something that could be treated.
After I pressed, the doctor he did ask one question and asked if I was constipated. I said I didn’t think so because I was having 1 to 2 movements a day. I did say that I had discontinued daily use of Metamucil that I have been using for years. I was previously diagnosed with diverticulitis and get an anabiotic. The negative outcome of that was it destroyed all of the bacteria in my stomach and drastically changed my regularity and consistency. I figured if I was having symptoms that were very similar to irritable bowel syndrome that fiber was only going to make it worse. He recommended that I start that regimen up again and it’s been roughly 2 weeks and I have not had a reoccurrence of the shoulder pain. In that span of time I have had a few occasions where I’ve eaten far too much and consume more alcohol than I should of and neither of those triggers a painful outcome. Two weeks is a fairly short span of time so I will continue to monitor and also make attempts at controlling portion size and alcohol consumption. I’ll be sure to check back in if I notice anything else.
Welcome to Connect, @jhowellsphotogr,
It can be quite stressful when you can't pinpoint what's causing these symptoms and pain!
While reading through other members' experiences, it seems like there could be several different reasons, the most common being GERD, gall bladder stones, or pancreatitis.
I'd like to share an interesting article I found online, about back and shoulder pain that occurs after a meal:
May I ask if your doctors have offered any explanations?
Liked by Teresa, Volunteer Mentor
I have been scouring the Internet for others with similar strange pains I am having for the last 3 months and this was the closest I have come to it. About 15 to 20 minutes after I eat just abut anything, my chest area right above my sternum tightens (starts with a tickle/cough and gets more severe). This is typically followed by pain in my upper shoulders, lower neck and thoracic back. When it is at its worst the pain radiates down to a specific spot/nerve on my thoracic spine right behind the same area in my upper sternum where I get the chest pain. Thus, it definitely seems as though this is the point where the pain starts. Sometimes, when it is not so bad, I will only feel the pain inbetween my shoulders (typically between both, but sometimes more near either shoulder) and/or neck area. These pains first started about 20 months ago, first with just the chest tightness, but evolved to also include the upper back within a couple months. At the time, I had no idea what it was and had heart, lungs and esophagus all checked out. Nothing showed up on any test except a small hiatial hernia and some signs of acid in my lower esophagus / LES. The first time, it eventually subsided after about 6 months, possibly as my anxiety was reduced from nothing serious coming back on all the various testing combined with a bland diet, use of PPIs, etc. So, from May of 2017 through June of 2018, I had few symptoms except I occasionally would feel the chest tightness and a start of the upper back pain sometimes after I started again drinking coffee or sodas. I would back off those things and it would subside again. Unfortunately, it has come back in spades again since July 1, 2018 (pain is more intense this time). As I was feeling pretty good, I started again drinking more coffee, sodas, and an occasional alcoholic hard citrus type drink early this summer. On July 1, I drank a coffee in the morning and felt the same pains pretty good. Later that same day, I stopped at a large roadside fruit market and drank a fresh citrus drink (pineapple, papaya, etc.). Before I get it half down, the same pains were immense. Since that day, I am having the pains after eating just about anything (sometime even just a banana). Thus, I had another upper endoscopy in early August that came back with the same results (small hiatial hernia, some evidence of acid damage/cells around my LES wj=hich always come back negative for Barret's), but nothing that the GI doctor indicates should be causing all of this pain. My GI doctor had never seen anything like this, but we both think it must be related to some type of hyper-sensitive esophagus that is set off by just minimal exposure to acid since it always occurs about 20 minutes after eating. He referred me to another GI doctor that is suipposed to be one of the premier esophagus specialists in the Atlanta area. I just met with him for the first time last week. He also has never seen these symptoms, but has schedule to do another Upper Endoscopy on me in November and also insert a PH measuring device. He was very surprised that I had the symptoms initially and they largely subsided for over a year before returning. I am on amtriptyline which seems to help mask/reduce the pain some, but not totally (just increased dosage from 25Mg to 50Mg). This ever present pain is very difficult to handle, particularly when there seem to be no answers or possible end in sight. I know these symptons vary from what other describe on this forum, but I wonder if they could just be a more intense version of the same underlying issue which I am guessing is hyper sensitive esophagus nerves that refer pain to the upper back, neck area given the nerves traverse the upper spine. Would be interested in others thoughts here, particularly if anyone has experienced the same symptoms.
We have several discussions on Connect which you might wish to view:
– Laryngo-pharyngeal reflux – made a decision to visit the Mayo Clinic https://connect.mayoclinic.org/discussion/hello-ive-made-a-decision-to-visit-the-mayo-clinic-in-a/
– Laryngopharyngeal Reflux (LRP) – severity and outlook? https://connect.mayoclinic.org/discussion/laryngopharyngeal-reflux-lrp-severity-and-outlook/
Here’s an interesting article that I shared some time ago, about back and shoulder pain that occurs after a meal:
I’m also tagging @jrofri @marlaxyz @barefoothorseman @barbee @rmw719 @ryhughes @jhowellsphotogr since they’ve shared their experiences; I’m certain they will return with some more insights for you.
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