The right upper quadrant pain has been around for more than a year, what is the problem with the rig

The most common pain in the back of the right shoulder is caused by cholecystitis, in the acute attack of the patient will have obvious pain in the right upper abdomen, which can radiate to the right shoulder and back, and will also be accompanied by nausea and vomiting, mostly secondary to overeating or eating high-fat food, it will also be combined with gallstones, positive physical examination of Murphy's sign, laboratory tests will also find an increase in blood image, and patients with reverse ** will have abnormal liver function, so the early stage should be timely choice of gallbladder resection surgery**.

In this case, it is recommended to go to the hospital for an abdominal ultrasound, and it is recommended to check on an empty stomach to see if there is cholecystitis.

This friend should be lung, but you should go to the hospital for diagnosis so as not to delay the condition.

If there is a problem with the body, you should go to the hospital in time, and the professional doctor will give a professional examination and a first-class plan, so as not to delay the condition.

For your problem, it is advisable to have a gallbladder exam.

Problem Analysis: Hello! According to your description, it may be a misalignment of the thoracic facet joints, which refers to the dislocation of the intervertebral joints formed by the lower articulation process of the upper thoracic vertebra of the previous thoracic vertebra and the upper articulation of the next thoracic vertebra under the action of external forces, resulting in thoracic and back pain and dysfunction.

The main manifestations are chest and back pain, pain leading to the front chest, feeling of carrying heavy objects, restlessness, walking vibration, coughing, sneezing, deep breathing, etc.

Suggestions: It is recommended that you use manual techniques, combined with oral drugs to relieve tendons and invigorate blood, regulate qi and relieve pain, with acupuncture, physiotherapy, cupping, hot compresses, etc., to avoid excessive fatigue, strengthen the function of chest and back muscles, and lie on a hard bed.

Analysis: Hello, there are many cases of abdominal pain. Pain disorders in different locations of the abdomen are also different, guided:

Epigastric conditions, such as stomach problems, gallbladder diseases, are common. Other conditions such as enteritis, pancreatic disease, and appendix disease can be caused. This situation is generally the case with the Department of Gastroenterology.

If the patient presents with right epigastric pain with back pain, cholecystitis is considered more likely and should be examined with color ultrasound of the abdomen.

Cholecystitis is a disease that occurs more often in middle-aged female patients, especially obese patients, who usually have gallstones, and patients will induce pain in the right upper abdomen after eating greasy food or overeating, and will also be accompanied by nausea, vomiting, fever and other manifestations.

On examination, there will be significant tenderness points in the right upper abdomen, and even rebound tenderness and muscle tension may occur, and surgery may be required if necessary**, and the right shoulder and back pain in cholecystitis is a typical symptom of referred pain.

Analysis:

It may be caused by cholecystitis, manifested as pain in the right upper quadrant area, sometimes manifested as nausea when smelling oil smoke, and even vomiting

After confirmation, anti-inflammatory choleretic tablets can be used for symptomatic treatment**, do not eat dizzy and greasy food, and drink more boiled water is conducive to the improvement of symptoms.

Analysis: Consider that you are more likely to have frozen shoulder, a common condition characterized by shoulder pain and immobility. In the early stage, the shoulder joint is paroxysmal and often induced by weather changes and exertion, and then gradually develops into persistent pain, which is observed and gradually worsened.

Conventional radiographs, most of them are normal, and some patients may see osteoporosis in the later stage, but there is no bone destruction.

Opinions and suggestions are slippery: **The method is exercise**, strengthen physical exercise, shoulder avoidance and avoid cold, local massage, physiotherapy, acupuncture, closed injection.

Problem analysis: Hello, this consideration is local fasciitis, muscle strain, related to long-term poor posture, wind and cold.

Suggestions: It is recommended to pay attention to avoid long-term bad posture, prevent wind and cold, do some hot compresses, massage massage, acupuncture physiotherapy, pain point sealing, internal and external anti-inflammatory and pain-relieving drugs, tendon relaxation and channeling, etc.

Problem analysis:

The possibility of frozen shoulder is relatively small, and it should still be a long-term posture to study and work, and the situation of neck and shoulder muscle fatigue

If you are not at ease, it is recommended to go to the orthopedic surgery department or the physiotherapy department of the hospital to let an experienced doctor check the disturbance, rule out the possibility of frozen shoulder, appropriate physiotherapy massage**, rest is the premise, do not take a position for a long time, and do not blow cold wind.