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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Upper Abdomen Radiating To Mid-back?

Hi,
Today was the third time that I have experienced a pain in upper abdomen, (below rib cage around diaphragm area), that seems to radiate to my mid-back. I get really nauseous and have an almost "outer body experience" when it happens, and I feel like I'm going to throw up, but I never do. I feel clammy and weak, and then it goes away after about 20 minutes or so. Should I go to see a doctor or just wait to see if it happens again? What are the different things it could be?
Thank you.
posted on Thu, 13 Mar 2014
Twitter Tue, 9 Dec 2014 Answered on
Twitter Tue, 9 Dec 2014 Last reviewed on
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.

You have a classical history and you should not wait, You should see a General Surgeon preferably with Gastroenterology specialty to get a proper investigations and diagnosis.

My probable diagnosis would be as follows as per the history you have provided:
-Gastric Ulcer
-Pancreatitis
-Volvulus of the stomach
-Rarely some problem of the bile ducts, aorta ans so on.

I would advise you the following in such a case:
X-ray of the abdomen in standing and lying down position.
Ultrasonography
Upper GI Endoscopy
CT scan of the abdomen to confirm the findings.

The treatment will depend upon the diagnosis on the basis of clinical history, physical examination, and investigations.
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What Causes Pain In Upper Abdomen Radiating To Mid-back?

Hi. Thanks for your query and an elucidate history. You have a classical history and you should not wait, You should see a General Surgeon preferably with Gastroenterology specialty to get a proper investigations and diagnosis. My probable diagnosis would be as follows as per the history you have provided: -Gastric Ulcer -Pancreatitis -Volvulus of the stomach -Rarely some problem of the bile ducts, aorta ans so on. I would advise you the following in such a case: X-ray of the abdomen in standing and lying down position. Ultrasonography Upper GI Endoscopy CT scan of the abdomen to confirm the findings. The treatment will depend upon the diagnosis on the basis of clinical history, physical examination, and investigations.