Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

197 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for pain in the upper back and GERD

Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 1962 Questions

default
Posted on Mon, 27 Mar 2017 in Abdominal Pain
Question: I woke up early this morning with lateral pain in my upper back--under the shoulder blades. First it was on one side and then on the other. I do have GERD. I took 2 tums and it seemed to ease. But it scared me. I also get cramping type of pain across my chest, just under my breasts, when I bend over sharply. Is that the same thing?
doctor
Answered by Dr. Ramesh Kumar 37 minutes later
Brief Answer:
As pain is responding to antacids most likely due to GERD and Gastritis.

Detailed Answer:
Hello,
Firstly I would thank you for choosing HealthcareMagic for your query,

As pain is responding to Antacids it is most likely due to GERD.Due to regurgitation of contents from stomach into food pipe patient usually presents with severe heart burn and chest pain(bending increases regurgitation)..
Pain in back can be because of disc prolapse or herniation.A MRI spine screening should be done along with serum calcium and vitamin D levels.As in old age due to low levels of calcium or vitamin D also pain can be there.
Tests advised -
2D echo doppler and E.K.G to rule out cardiac involvement as gastric symptoms often overlaps cardiac symptoms.As your age is 76 cardiac involvement is to be ruled out especially when you are complaining of pain across chest.
MRI spine(to rule out cause of back pain)
Serum calcium and vitamin levels(Deficiency associated with back pain in elderly)
Treatment-
Follow all dietry restriction(You must be following them already)
-A low fat diet to be taken
-Avoid spicy food.
-Try to eat organic vegetable and fruits.
-Avoid citrus fruits and juices.
-Drink cold milk.
-Avoid Meat.
-No smoking or alcohol.
Along with life style changes
Take Prilosec 40mg once daily empty stomach to provide symptomatic relief. Antacids like Tums can be continued to neutralize the acid as and when required.However Mucaine gel will provide beter symptomatic relief.

Thank you and follow up with reports.

Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication

Recent questions on  Disc prolapse

doctor1 MD

Hello hope perhaps you can shead some light I am 45 and I seem to have pain and tightness along the spine and upper and mid back I have had this before but nothing was done about it I do suffer from c4 c5 issues in my neck as well as lower back...

doctor1 MD

Hi ive been having back pain for awhile due to pickup a 2 yearold and then suddenly last night i bent over to pick her up then a sound of a pop like noise with pain. Hi just checking in to See If You Have finished. Thanks

doctor1 MD

My 63 year old son has developed painful feet. It started in middle of back several years ago, & worked itself down to his legs. Now, he cannot walk or climb stairs. I asked my Dr. about it & he gave the name gabapentin', I looked it up, but...

doctor1 MD

Hi, I had three injections 4 years ago for my sciatica, epidural, facit joint and nerve block, all made the pain worse, but, during the last injection, the nerve block i lit up like a xmas tree pain got so bad, i could here the Doctor say, youve put the needle in to far, take it out, then they gave me a second injection and I was ok for 24 hours, Im on oxycontin since and past two years also nurontin and prothieden, plus lidocaine patches. My sciatic pain was nothing like this, I have burning sensations on soles of my feet and pain all the way down my left leg 24/7, wake at night by pain, Doctor's dont believe me that injections could mess me up so bad, help?

doctor1 MD

i was not as informative as i should of been in my last question one of the answers said. start by again saying i am 32 years old,female,suffering for over 7 years now of middle, but intensly more lower back pain just above my buttocks , to the point were i cant walk my dog for 3 mins, before it is so painfuld i can not make it home without stoping,i also have severe pain laying on either side of my body, i feel pain on my side of my buttocks that goes down to me knees. i have had bad posture that started at an early age when i developed breasts at an early age, and they are a bigger size, D, i have no trauma to my body to cause this to of happend, it just has gotten worse and worse over the years, and it has kept me from working for the last 6 years. I get very little to no relief from heat pads, or ice pads, or advile, or alieve, and i am allergic to tylenol and perkcodan has helped me not at all, I also get severe headaches, and the only relief i have ever gotten were i have felt i could actually walk and move without this pain is when a friend gave me an oxycotin and a dilauded both of which i researched before taking. That was the one good day i have had in years, i belive it was called relief, a life worth living. Unfortunatly while doing my research i see there is a lot of people who misuse these drugs and fear i would not stand a chance of being perscribed them. which is a total let down for me cause that was something really worked for me and i felt happy for once, as u can amagine a life filled with pain is no life at all, and causes a great deal of depression . so i am in your hands as my aniety and fear of doctor and pain and the ability to get to own, leads me hear asking you, thank u so much for your time.