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How Can Chronic Back Ache And Pain Under Sternum Radiating To The Upper Back Be Treated With History Of Gastritis?

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Posted on Sun, 15 Apr 2012
Question: hello
left side stomach painunder sternum and radiates to mid upper back- both front and back pain are chronic for 4 days now-back pain is at same/simlar height as stomach-feels like a knife. I have history of gastritis and take prilosec-doesnt help currently
doctor
Answered by Dr. Dr.Raju.A.T (28 minutes later)
Hi Jkersz,

Thanks for your query.

The pain you describe is probably a typical presentation of Acid gasritis. Prilosec does help but it needs some time to show optimal effects .There is a dosage course for the same one tab early in the morning before food for a minimum of a week.
You can take immediate antacid measures like TUMS, Gelusil or Digene in the form of syrup or tablets. You may also need to take Antispasmodic medication too alleviate the pain.

Even after trying above ,one could get suspicious of pancreas involvement.It could probably be due to acute Pancreatitis which can be determined by getting Serum Amylase levels checked.The treatment of which is different.

Do consult your doctor for the same.

Hope I have answered your query. If you have any follow up queries I will be available to answer them.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Raju.A.T (6 minutes later)
the back pain is between the ribs on left side; probably about 3 ribs from the shoulder blade-when i wake in the morning it is not there but appears later in the day- the same with the gastric condition-i am afraid to take pain medication for NSAIDs can make the stomach pain worse, right? Tylenol (acetominphen) does not help
doctor
Answered by Dr. Dr.Raju.A.T (8 minutes later)
Hi,

The site of the pain you mentioned is typical for a pancreatitic pain.Get the Pancreatic amylase test done to confirm the same.

Taking pain medications ( NSAIDs) will worse both gastritis and pancreatitis I suspected.

Go for antispasmodics ( Prescription medication) .These will reduce the pain by preventing the contraction of the stomach which could be the reason for the pain.

Hope I cleared your doubts.If you have any follow up queries I will be available to answer them.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr.Raju.A.T

General & Family Physician

Practicing since :2008

Answered : 4901 Questions

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How Can Chronic Back Ache And Pain Under Sternum Radiating To The Upper Back Be Treated With History Of Gastritis?

Hi Jkersz,

Thanks for your query.

The pain you describe is probably a typical presentation of Acid gasritis. Prilosec does help but it needs some time to show optimal effects .There is a dosage course for the same one tab early in the morning before food for a minimum of a week.
You can take immediate antacid measures like TUMS, Gelusil or Digene in the form of syrup or tablets. You may also need to take Antispasmodic medication too alleviate the pain.

Even after trying above ,one could get suspicious of pancreas involvement.It could probably be due to acute Pancreatitis which can be determined by getting Serum Amylase levels checked.The treatment of which is different.

Do consult your doctor for the same.

Hope I have answered your query. If you have any follow up queries I will be available to answer them.