Which Medical Specialty to Consult for Shoulder and Stomach Pain? - Family Medicine

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Given your mother's symptoms of left shoulder pain and stomach discomfort, it is essential to approach this situation with caution, as these symptoms can be indicative of various medical conditions, some of which may require immediate attention.


Recommended Medical Specialty
1. Primary Care Physician (PCP): The first step should be to consult a primary care physician. They can perform a comprehensive evaluation, including a physical examination and a review of her medical history. The PCP can help determine whether the symptoms are related to musculoskeletal issues, gastrointestinal problems, or potentially more serious conditions like cardiac issues.

2. Orthopedic Specialist: If the primary care physician suspects that the shoulder pain is primarily musculoskeletal (e.g., rotator cuff injury, tendonitis, or bursitis), they may refer your mother to an orthopedic specialist. This specialist can provide targeted treatment options, including physical therapy, medication, or possibly imaging studies (like X-rays or MRIs) to assess the shoulder.

3. Gastroenterologist: If the stomach pain is significant or persistent, a referral to a gastroenterologist may be warranted. They can evaluate for gastrointestinal conditions such as gastritis, ulcers, or other digestive disorders that could be causing the stomach pain.

4. Cardiologist: Given the concern about potential cardiac issues, especially with shoulder pain radiating to the back and stomach, it may be prudent to consult a cardiologist. They can perform tests such as an EKG or echocardiogram to rule out any heart-related problems, particularly if there are risk factors present (even if she does not have a history of hypertension or diabetes).


Self-Assessment and Immediate Actions
While waiting for a medical appointment, there are a few self-assessment steps you can take:
- Symptom Diary: Keep a record of when the pain occurs, its intensity, duration, and any activities that seem to exacerbate or alleviate the symptoms. This information can be valuable for the healthcare provider.

- Pain Assessment: Ask your mother to rate her pain on a scale of 1 to 10 and describe its nature (sharp, dull, throbbing, etc.). This can help in understanding the severity and potential causes.

- Physical Activity: Monitor her physical activity levels. While she uses a bicycle for transportation, assess if she has had any recent changes in her routine or any new activities that could have led to strain or injury.

- Red Flags: Be aware of "red flag" symptoms that require immediate medical attention, such as:
- Severe or worsening pain
- Shortness of breath
- Chest pain or pressure
- Nausea or vomiting
- Changes in consciousness or severe dizziness

Conclusion
In summary, your mother should first see a primary care physician who can evaluate her symptoms holistically. Depending on the findings, referrals to orthopedic specialists, gastroenterologists, or cardiologists may be necessary. It is crucial to address these symptoms promptly, as they could indicate underlying conditions that require timely intervention. Encourage your mother to seek medical attention soon, especially if her symptoms worsen or if she experiences any alarming signs.