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Upper back and spinal pain with nausea - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :   I am Dr AAAAAAA
User :   hi i am having upper back pain with nausea
Doctor :   How can i help you ?
Doctor :   Ok
User :   the pain its like coming from the spine
Doctor :   What is your age ?
User :   even when i touch it hurts
User :   32 years old
Doctor :   Where exactly in the upper back ? Is it behind the lungs or somewhere around the middle back or in the neck region ?
User :   in the middle back
User :   i feel chills inside but i dont have fever
Doctor :   Ok, And the pain hurts you more when you touch it , right ?
User :   its the same pain i feel even when i dont touch it
User :   but the pain comes and goes
Doctor :   Ok .
Doctor :   Do you see any warmth specially at the palce where it hurts ?
User :   yesterday i was going to blackout i dont know if its from the same reason
User :   no
Doctor :   How long was the blackout and did you fall down and hurt yourself ?
User :   no i didnt blackout i was going to faint and after i got very cold and tired
Doctor :   So did you have a fall or injury ?
User :   no
Doctor :   Did you have any vomitings per se ?
User :   i had lot of nausea but i could vomit
User :   couldn t sorry
Doctor :   Since how long do you have this back pain and nauseating feeling ?
User :   a week
Doctor :   Ok.
Doctor :   Do you have any difficulty in breathing ?
Doctor :   Or in ingestion of foods ?
Doctor :   And do you get hiccups ?
User :   yesterday when i woke up i was finding it diificult to breath normally then i massage the part and i felt a bit better
User :   yes sometimes i have reflux
User :   no hiccups
Doctor :   Ok, Thats better.
Doctor :   Now that we can narrow on to diagnose your problem.
Doctor :   And finally What is your height & weight, BMI, And do you have any chronic gastric / peptic or Ulcer problem ?
User :   my bmi is 24 height 5 feet 4 inches
User :   that i know i dont have ulcers
Doctor :   Ok, That looks fine.
Doctor :   1.What I feel your problem could be is a simple muscle pull ; or
Doctor :   2.could be a problem in the oesophagus.
User :   i see but the more im concened can the fainting feeling comes from a muscle pain?
Doctor :   I would suggest Tab. ADVIL 200mgs. two tablets every 8hrs for 3 days.
User :   ok
Doctor :   I also want you to keep a note of yourself for these 3 days and see if this occurs again.
Doctor :   If the fainting feeling comes back , then might be you have to see a primary for other tests for a syncope.
User :   ok
User :   ok
User :   ok
User :   sorry but the ok wasnt showing over here:)
Doctor :   But I also feel, 1.Lack of sleep 2. Insomnia 3. Stress 4. Low fluid intake -Poor electrolyte balance can cause nausea and fainting feeling.
Doctor :   No issue about that.
User :   even if i did an ecg and it was fine
Doctor :   For your age and your BMI, we rarely come across a Cardio-vascular presentation.
User :   i see
Doctor :   So please dont panic from now on, lets wait for 3 days and lets take it forward.
User :   ok thanks alot
Doctor :   Meanwhile have good sleep, take proper rest, replenish with fruits and veggies. and take the medication.
Doctor :   Hope you get well soon.
User :   thanks
Doctor :   Take care, bye for now, thank you for consulting me.
Question is related to
Diseases and Conditions
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