Hmm, thats interesting cos I was wondering that myself about constipation being a factor in this left shoulder pain nightmare! I noticed when I get the pain spasms I also tend to burp or fart a lot. I am having surgery this Thurs to relocate the tubing and see if that makes a difference, I hope so because I cant live like this forever, its awful. Despite my bad news I have still lost 10kg now and am so happy about that :crying: