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What Causes Upper And Middle Back Pain?

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Posted on Mon, 8 Aug 2016
Question: Hello -
I woke up with acute pressure on my mid to higher back on the right side. It was coming from my side as well as my back. I got extremely dizzy and nauseous and went to the floor. Could not get up from pain and dizziness. I was profusely sweating. It lasted for about 5 - 10 mins. The nausea was the last to subside. I feel better now. There is a tightness in that area. No pain when I push on that area
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this clinical scenario:

- a musculoskeletal disorder including a backbone disorder. A wrong position during sleep can trigger this symptomatology.

- an aorta disorder

I recommend going to the ER for a careful physical exam and some tests:

- a resting ECG
- a chest x-ray study
- a cervico- thoracic spine x-ray study
- some blood lab tests ( complete blood count, PCR, sedimentation rate, kidney and liver function tests).

A cardiac ultrasound could help examine your aorta better.

Meanwhile I recommend you to closely monitor your blood pressure.

You should discuss with your doctor on the above issues.

Hope to have been helpful!

Kind regards,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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What Causes Upper And Middle Back Pain?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I carefully passed through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this clinical scenario: - a musculoskeletal disorder including a backbone disorder. A wrong position during sleep can trigger this symptomatology. - an aorta disorder I recommend going to the ER for a careful physical exam and some tests: - a resting ECG - a chest x-ray study - a cervico- thoracic spine x-ray study - some blood lab tests ( complete blood count, PCR, sedimentation rate, kidney and liver function tests). A cardiac ultrasound could help examine your aorta better. Meanwhile I recommend you to closely monitor your blood pressure. You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards, Dr. Iliri