A member asked:

Epigastric pain has been waking me up at night. throbbing pain, gives me cold chills. lasts for hours. i sleep almost upright, gerd. what could it be?

A doctor has provided 1 answer
Dr. James Okamoto answered

Specializes in Family Medicine

Possible ulcer: From your description, the pain is pretty severe, and it could be sign of an ulcer. I would follow GERD precautions (I.e. avoid food 3hrs before sleep, avoid tight clothing, chocolates, mints, alcohol, and NSAIDs.) AND see your Dr as soon as possible. After further history and exam you may still require an endoscopic exam to confirm the diagnosis. Get well soon!

Answered 1/5/2019

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