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What causes discomfort in upper stomach and radiating pain in back?

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Posted on Wed, 18 May 2016
Question: I'm having discomfort in my upper stomach and sometime the pain goes into my back it is not constant it comes and goes but I have been sick to my stomach all day off and on.
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Answered by Dr. T Chandrakant (32 minutes later)
Brief Answer:
ER- Investigations for proper diagnosis and treatment

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/57 - sick to stomach all day off and on - discomfort in upper stomach - *goes sometimes to the back - comes and goes - tried pepto bismal about 7 hours ago - not constipated - salads each day - have to urinate more frequently since yesterday ...

My thoughts:
Since the history specifically says about pain going to back, I would be worried about the following things:
Gastric ulcer
Pancreatitis

I would advise you the following in such a situation:
Consult your Doctor or go to ER.
Blood tests- routine as well as liver function tests, amylase, lipase, kidney function and as may be needed on clinical evaluation and examination and other reports.
EKG to be on safer side.
Tests of urine: routine, microscopy, culture and sensitivity.
Ultrasonography to stat with, better to do CT scan of the abdomen.
Upper GI Endoscopy.
Get started with PPI.
Antibiotics if UTI
Further management as per the clinical evaluation and reports.

I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.


Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19056 Questions

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What causes discomfort in upper stomach and radiating pain in back?

Brief Answer: ER- Investigations for proper diagnosis and treatment Detailed Answer: Hi. Thanks for your query. To recapitulate: Female/57 - sick to stomach all day off and on - discomfort in upper stomach - *goes sometimes to the back - comes and goes - tried pepto bismal about 7 hours ago - not constipated - salads each day - have to urinate more frequently since yesterday ... My thoughts: Since the history specifically says about pain going to back, I would be worried about the following things: Gastric ulcer Pancreatitis I would advise you the following in such a situation: Consult your Doctor or go to ER. Blood tests- routine as well as liver function tests, amylase, lipase, kidney function and as may be needed on clinical evaluation and examination and other reports. EKG to be on safer side. Tests of urine: routine, microscopy, culture and sensitivity. Ultrasonography to stat with, better to do CT scan of the abdomen. Upper GI Endoscopy. Get started with PPI. Antibiotics if UTI Further management as per the clinical evaluation and reports. I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.