Hi,

Thanks for writing to health care magic.

You described sudden onset pain that keeps changing location - starting from the upper abdomen to chest and then to the back. This form of pain is generally not associated with serious medical disease. However as I do not have an opportunity to examine you, I would like you to rule out two important medical disease.

1. The first thing that comes to my mind is acid peptic disease. The pain that you are having could be referred pain. An endoscopy can be performed to confirm the diagnosis and medications that decrease the acid secretion like proton pump inhibitors and H2 blockers will be helpful.

2. Another important problem that can mimic this presentation is ischemic heart disease. Your doctor will ask for a ECG after a physical examination. Further investigations may be ordered depending on the ECG findings.

I would encourage you to visit your local physician, discuss about your symptoms and about these possibilities. If needed, the aforementioned test can be ordered and treated accordingly.

Hope this helps. Let me know if you need clarifications.
Take care.

Dr Y V Siva Sankara Murty,

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Hi,

Even though you complaints suggest that it could be only acid peptic disease I feel you should certainly get checked up once. If every thing is fine well, then you can be rest assured you are not dealing with a serious concern.

Please get yourself checked up once.

Take care.

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Hi XXXXX

So the physical examination findings may have suggested some thing related to the gall bladder (like acute cholecystitis or may be gall stones etc ). So he may have asked for a ultra sound. If every thing is normal on that ultra sound your doctor will naturally think of other possibilities (like what ever I mentioned). So do not worry regarding that part. If possible update me with the ultra sound report so that we can discuss the matter.

Take care.

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