<human>: I m having some upper right abdominal pain, after I eat. It feels crampy in nature and doesn t happen every day, but seems to be increasing in frequency and severity. It is located right below my right rib cage on the right side in is fairly localized. I also frequently have pain in my right shoulder in the back, right along the scapula blade. The shoulder pain isn t always associated with the abdominal pain.
<bot>: A number of reasons for your pain.: 1) Stomach ulcer: A classical history of pain increasing on eating. The treatment is generally omeprazole 30 mg +/- antibiotics depending on the tests run by your GP. An x-ray to rule out ruptured ulcer is a must2) Gall stone: Associated with flatulence as well but may present with the above-mentioned symptoms. A simple USG of the gallbladder will suffice3) Pancreatic pain: Also increases on diet and is generally very severe in nature. May radiate to the back as well and may decrease on crouching forward, although this is not a rulePancreatic profile with serum lipase and amylase is suggestedOther rare possibilities 1 Myocardial infarction2 Aortic aneurysm3)pleural pain4 lumbar stenosis/spondylosisPlease discuss all possibilities with your GP in the above-mentioned order