Hi there,
Thanks for your query.
Pain in the back can be due to an ulcer on the posterior wall of the stomach; or, due to added inflammation of the
Pancreas. I therefore suggest that you get Blood Amylase (for
pancreatic inflammation) and blood Sugar estimation done( to exclude/confirm
diabetes).
The stomach is located just below the sternum. Hence, the pressure pain at that site is due to erosive gastropathy.
Antacid gel 30ml, if taken one hour after each meal, will reduce the acidity pain.
Further, vast majority of the cases of GERD are due to a bacterial (called H.pylori) infection of the stomach/
duodenum. If I were your treating specialist, I would have given you 2 weeks' course of anti-H.pylori therapy, followed by 3-6 months of anti-acid drugs (PPIs).
Please discuss my views/opinion with your treating doctor, who- if it is agreeable to him- will prescribe the recommended treatment.
Dr. Rakesh Karanwal