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What Causes Pain In Upper Back Radiating To Upper Abdomen?

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Posted on Fri, 18 Sep 2015
Question: What is the symptoms of chest or lung anerysum...i get sharp pain in upper back that last s few minutes sometimes it goes to upper abdominal pain goes away
doctor
Answered by Dr. Panagiotis Zografakis (26 minutes later)
Brief Answer:
chest pain

Detailed Answer:
Hello,

I suppose you're talking about thoracic aortic aneurysms.
The most common symptoms is pain (chest pain which may radiate to the back). Hoarseness is another potential symptom when the aneurysm is located in the aortic arch.

Please keep in mind that intact aneurysms won't cause serious symptoms (if any). A rupture of the aneurysm may result in a dramatic situation with serious chest pain (particularly in dissecting aorta), the consequences of the faulty blood vessel (like neurological symptoms) and blood loss (hypotension and syncope). The exact symptoms may depend on the location of the aneurysm. A descending thoracic aortic aneurysm may cause back pain (between the scapulae).

The symptoms you've mentioned do not raise the suspicion for an aortic event. It could be related to your heart though, so investigation for the cause is needed. An electrocardiogram and blood enzyme tests would be useful. A chest X-ray and of course clinical examination would be very useful too.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (3 minutes later)
I have had many ekg last one a yr and a half ago...should i get another one
Chest xray over a yr and a half
doctor
Answered by Dr. Panagiotis Zografakis (8 minutes later)
Brief Answer:
new pain, new ecg

Detailed Answer:
Unless the diagnosis is clear, chest pain requires investigation. One year before is a long time. Elements from your history which would make investigation even more urgent include smoking, increased cholesterol, family history of early heart attack in men younger than 55 years or women younger than 45 years, hypertension, diabetes, etc.

Symptoms that usually accompany heart disease include sweating, nausea, vomiting, shortness of breath, arrhythmia, etc.

Kind regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (1 minute later)
No smoking no cholesteral or high blood pressure...just gastritis...mother had heart attack and stroke before 50
No diabetes
doctor
Answered by Dr. Panagiotis Zografakis (4 minutes later)
Brief Answer:
not many cardiovascular risk factors

Detailed Answer:
It"s a good thing that you don't have many risk factors. Investigation is needed anyway. I wouldn't fear for the aneurysm though. This isn't so common.

Kind regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (3 minutes later)
Should i be worry it being a heart attack
doctor
Answered by Dr. Panagiotis Zografakis (4 minutes later)
Brief Answer:
not very likely but has to be clarified

Detailed Answer:
I've mentioned some symptoms which make a heart attack more likely. You don't seem to have any, but I can't exclude the heart attack. Due to the severity of this condition immediate investigation is required.

Best wishes!
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3818 Questions

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What Causes Pain In Upper Back Radiating To Upper Abdomen?

Brief Answer: chest pain Detailed Answer: Hello, I suppose you're talking about thoracic aortic aneurysms. The most common symptoms is pain (chest pain which may radiate to the back). Hoarseness is another potential symptom when the aneurysm is located in the aortic arch. Please keep in mind that intact aneurysms won't cause serious symptoms (if any). A rupture of the aneurysm may result in a dramatic situation with serious chest pain (particularly in dissecting aorta), the consequences of the faulty blood vessel (like neurological symptoms) and blood loss (hypotension and syncope). The exact symptoms may depend on the location of the aneurysm. A descending thoracic aortic aneurysm may cause back pain (between the scapulae). The symptoms you've mentioned do not raise the suspicion for an aortic event. It could be related to your heart though, so investigation for the cause is needed. An electrocardiogram and blood enzyme tests would be useful. A chest X-ray and of course clinical examination would be very useful too. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!