I have acid reflux and asthma flare up. i sometimes couldn't breathe even if i took salbutamol. my right shoulder blade hurts when i take deep breath.

Acid reflux & asthma: Acid reflux can exacerbate asthma - when you reflux it can spill into lung. Consider acid reflux meds and check for H pylori a bacteria associated with gastritis. Elevate head of bed when sleeping. May need short course of steroids for asthma Shoulder blade pain is associated w/ gallbladder so would check that as a factor in GI distress. iFollow up with doc