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Doctor insights on: Severe Epigastric Pain Radiating To The Back

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What cause of chronic severe mid back pain associated with epigastric pain and ab pain getting worse when i talking?

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

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


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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.

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

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What is a possible cause of severe epigastric pain radiating to the rear, almost like a cramp, lasting 1-2 hrs?

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

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What causes epigastric pain to radiate to my mid back?

Maybe...: Gallbladder condition, gastritis, pancreatitis. Would need to see a doctor for evaluation & maybe blood tests & ultrasound of the gallbladder. ...Read more

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I had epigastric pain that sometimes propagate to the back.recurrent eructation following food ingestion .few recurrent attacks of painfull swalloing ?

I had epigastric pain that sometimes propagate to the back.recurrent eructation following food ingestion .few recurrent attacks of painfull swalloing ?

Esophageal reflux: The symptoms you describe suggest you have esophageal reflux. You avoid anti-inflammatory drugs, eating for 3 hours before going to bed, and take omeprazole or ranitidine. If these changes do not help your symptoms you should see your doctor for further evaluation. ...Read more

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Epigastric pain for a 16 year old ? Stomache growling and a little of back pain? What is it ?

Variable issue: This could be as simple as heartburn or a significant gi, chest wall, heart or other issue. If minimal symptoms it can be watched, if interfering with activities i would have her see her pcp during regular office hours. ...Read more

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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

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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

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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?

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

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I am having painful indigestion causing epigastric pain, back pain, nausea. What can I do?

Go to your doctor: Your doctor needs to evaluate you thoroughly to see what's going on before he/she can offer you suggestions. ...Read more

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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

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

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Epigastric pain, back and upper right quad pain for 6 weeks. Pancreas ct scan with contrast normal. worried about pancreatic cancer. Ct reassuring ?

Epigastric pain, back and upper right quad pain for 6 weeks. Pancreas ct scan with contrast normal. worried about pancreatic cancer. Ct reassuring ?

YES: the CT is reassuring however a lesion in your upper GI tract (esophagus/stomach) should be ruled out as well! Ask the Health Care Provider who ordered your CT scan...he/she probably can "take a look"(endoscopy) Hope this helps/good luck/be well Dr Z ...Read more

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Lap chole last year.acute pancreatitis.had ercp.still have stone in cystic duct.severe epigastric pain.relieved by vomiting.wht şhould be done?

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

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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?

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

Dr. Martin Tyson
307 doctors shared insights

Upper Abdominal Pain (Definition)

Upper abdominal pain is pain felt in the belly, above the abdomen. Problems in the stomach, upper intestine, and liver may cause ...Read more


Dr. Barry Rosen
3,148 doctors shared insights

Abdominal Pain (Definition)

Abdominal pain is pain that you feel anywhere between your chest and groin. This is often referred to as the ...Read more