Our expert says:
Another thing one should look for is an acute peptic ulcer, or pancreatitis. Remember that sometimes finding the cause of an illness is like building a puzzle, one sometimes need quite a few pieces before the picture becomes clear. Keep your Doctor informed of his progress, so that if he deteriorates, he can consider referring him to a gastroenterologist for a gastroscopy to check for a peptic ulcer and that other blood tests can be drawn to exclude other possible causes like pancreatitis. His urine also needs to be checked if it hasn't been already. Any disease that irritates the diaphragm (in the chest or in the abdomen) can cause pain with coughing and pain in the shoulders.
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