Doctor insights on:
Severe Epigastric Pain Radiating To The Back
What cause of chronic severe mid back pain associated with epigastric pain and ab pain getting worse when I talking?
Need an evaluation: Something is irritating your diaphragm. Right before you speak, you inhale. That pushes your dome shaped muscle diaphragm down and is pressing in something that is causing your discomfort. ...Read more
Mid back pain and ULQ/Epigastric pain for 3 Mos. Fatigue, tiredness, & trouble sleeping. Went to ER for severe pain 1 week ago, but blood work didn't show anything. Back pain bad today. Should I go to ER and insist they do more? My PCP won't help.
Ct scan, ultrasound: Need this to finalize diagnosis, or maybe laproscopy if gynecological problems, may have ulcer so go to g.i. dr for endoscopy[scoping] since epigastric pain, try proton pump inhibitor for 1 month like prilosec. Avoid much alcohol, never smoke. Hope /pray it helps. Be sure not constipated, use mirilax /colace, senna/dulcolax. chnag diet if so, less white flour products. ...Read more
Last Tuesday I started having severe upper abdominal pain and back pain. Pain finally went away in back. Now minor pain w/ fullness n upper abdomen?
Epigastric pain radiating to the back, started ayear ago occures at times with continuation of about half an hour with rapid breathing.
What is a possible cause of severe epigastric pain radiating to the rear, almost like a cramp, lasting 1-2 hrs?
Visceral pain: Epigastric pain may have many etiologies. Diagnosis requires a good history and physical exam with a surgeon, and may lead to further testing such as ultrasound, upper gi, or perhaps egd (endoscopic evaluation of the stomach). Some possibilities include disorders of the stomach (gastritis, h. Pylori, peptic ulcer), gallbladder (gallstones), or pancreas (pancreatitis). ...Read more
I had epigastric pain that sometimes propagate to the back. Recurrent eructation following food ingestion. Few recurrent attacks of painfull swalloing?
Having epigastric pain for 5 mo. No docs can find anything, with the pain I have a sharp pain under my left shoulder blade, and pain in middle of back
Pun?: I'm sorry, but I don't understand what you are saying it feels like. Please clarify and resubmit question. ...Read more
Been having epigastric pain for 5 mo. Last week or so been noticing sharp pain in my mid back and also sharp pain under left shoulder blade. Related?
Possibly: You may be having pain from gallstones. If the epigastric pain is on the right where the gallbladder is located, this could be related to gallstones. Occasionally, patients have referred pain to the area between the shoulder blades. It is more common to have pain under the right shoulder blade than the left. You can have your doctor check for gallstones with an ultrasound. ...Read more
I have constant pain behind lower left rib. Sometimes the whole rib area. And left shoulder blade.. Its not muscle or nerve. Also epigastric pain.?
See your doctor: Symptoms and concerns like these mandate a thorough evaluation by your doctor. Only after such an evaluation, which may include labs and radiographic examinations, can he/she let you know what's going on and how best to help you. ...Read more
Gallbladder removed 11 months ago. I have been having epigastric pain for several weeks now and severe pain and nausea under the right rib cage after?
Bile duct stone?: There are a number of tests, ultrasound, mrcp that you could have to rule out a retained or new primary gallstone in your bile ducts. If these are clear an EGD/ERCP may help. IF negative you may need additional testing. If it is not a stone then review your meds. Many things can cause right sided pain. See a surgeon or GI doc ...Read more
Epigastric pain, about 4/10. For about 2 days. No Chest Pain, have had some back discomfort. One episode of nausea. I am a 51 yr old woman. Lexapro 10 mg daily is the only med I take. All family have had cardiac hx. I do smoke. More pain in area when palp
Check it out asap: While this could be dyspepsia or reflux you should be sure to have it checked out with your doctor soon to rule out other causes. With your smoking and family history one should be concerned about cardiac problems and your heart along with surrounding vessels should be evaluated (EKG and perhaps CT chest to rule out aortic dissection). ...Read more
Severe epigastric pain and bloating accompanied with night chills during first trimester of pregnancy pain is constant and gradually worsening.
6 weeks of mild epigastric pain. Occasional radiation to back under posterior ribs. Feeling full w/meals. Occ intense pain. Lymph nodes swollen l neck?
See doctor: This kind of pain needs evaluated by your doctor. Could be all kinds of reasons. The earlier the better. ...Read more
Epigastric pain, back and upper right quad pain for 6 weeks. Pancreas ct scan with contrast normal. Worried about pancreatic cancer. Ct reassuring?
Lap chole last year. Acute pancreatitis. Had ercp. Still have stone in cystic duct. Severe epigastric pain. Relieved by vomiting. Wht şhould be done?
See a liver surgeon: If a therapeutic endoscopist (specialty trained gastroenterologist in endoscopy) cannot remove the cystic duct stone (this can very difficult if the stone is lodged in the duct), then you should see a specialist in liver surgery, a hepatobiliary surgeon, who may need to take the remnant part of the cystic duct out and possibly clean out the common bile duct. ...Read more
I am 33 old female with upper epigastric pain under xiphoid process. Better in the morning, worse by evening, I have mid lt back pain near spine. I have had neg. Abd. Ct, upper endo, stool test, lipase and abd UL 4 months ago. Symptoms still persist?
I'm have epigastric pain LUQ and RUQ pain. Nausea and stool change. Symptoms worsen after eating. Loss of appetite. Fatigue. Pain radiates to back?
Cholecystitis: Chronic cholecystitis or gallbladder stones/sludge associated with symptoms of pain, bloating, belching and nausea is a reason to see a surgeon for a surgical consult. Okay to ask your doc to send you to as surgeon. In the majority of cases, an outpatient laprascopic gallbladder removal will be helpful to the patient. Take a friend with you. Be well. ...Read more
U mean Pantoprazole?: Pantoprazole (generic protonix) is a member of the class of agents known as "proton pump inhibitors" (ppi's). Others in the class include: Prilosec (omeprazole), Prevacid (lansoprazole), aciphex, nexium, dexilant, (dexlansoprazole) zegerid. All will block acid production in the stomach. Protonix works if your gastritis is peptic (e.g. Acid-mediated) and not related to bile injury, caustic ingestion, infection. ...Read more
Location: Epigastrium refers to an anatomic area - the epigastric region of the abdominal region that is the upper part and central in location, above the umbilical (belly button) region and between the two edges of the rib cage. The type of pain there can be varied, e.g. Constant, cramps, sharp, radiating, burning, dull, etc. The nature of the disease will present with varying descriptions. ...Read more
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