Hi.
Thanks for your query.
Noted the history and understood your concerns.
Pain in the upper abdomen on pressure and referred pan on the back on standing up indicates the following:
Gastric ulcer on the posterior wall of stomach.
Or
Pancreatitis.
I would advise you the following in such a situation:
Get started on a PPI like
Omeprazole.
Antacid every three hours particularly on empty stomach.
Clinical valuation and examination by a Gastroenterologist and
An upper GI
Endoscopy.
Ultrasonography of the abdomen.
Once the diagnosis is made, continue the additional treatment as advised by Him.
Control of the stress and anxiety.
Soft bland diet.
Proper night sleep.
Avoid all the factors that instigate or enhance the problem. No alcohol or oily and spicy food.
If pancreatitis is found on
ultrasound ten further detailed studies and investigations of MRCP will help further for proper diagnosis and management.