What causes pain in upper abdomen radiating to mid-back?
Patient: 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. Doctor: 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.UltrasonographyUpper GI EndoscopyCT 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.