What causes abdominal pain and back pain?
Patient: All night last night I kept waking up to upper abdominal pain. I felt like I needed to burp or get sick. I vomited a few times but haven't since. Nothing seems to make it better or worse. I'll be fine for a little bit then all of a sudden my stomach starts to hurt again. it's causing my back to hurt right behind the abdominal pain. Any idea? Doctor: Hi  ! Good morning. I am Dr Shareef answering your query. If I were your doctor, after a clinical assesment of your abdomen and back along with a general physical examination, I would advise you for some routine blood tests like a cbc,blood sugar,serum amylase and lipase, an LFT, blood urea, serum creatinine, an ECG and some radiological investigation like an ultrasound of whole abdomen, X ray chest and abdomen in upright posture, followed by a CT scan if need be. In the mean while, I would relieve your pain with some anti spasmodic and a proton pump inhibitor drug and advise you to abstain completely from alcohol and smoking in case you do. Further management would depend on the result of clinical assessement and the investigation reports.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef