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What Causes Periodic Pain Radiating To Back And Spine?

Posted on Thu, 7 May 2015

Question: I'm having what i think is costochondritis. Have had two heart attacks but this is different. Had gall bladder out last year. Hurts when i eat too much Have lost 10 pounds in two weeks. Constant feeling of tightness and fullness. Lots of gas. Pinpoint pain at gall bladder point i think. Hurts most when i bend over. Shortness of breath. Two or three short hot flashes a day. No acid reflux. Periodic pain radiates to my back and spine. Ibuprofen decreases the pain. Has lasted three weeks. Besides cardiac and cost, what are seem other possible differentials?

Answered by Dr. Hari Charan Perigela (27 minutes later)

Brief Answer:
It could be a Chronic pancreatitis.

Detailed Answer:
Hi
As per your description, it looks like Chronic pancreatitis.
Pain radiating to the back and spine goes more in favour of Pancreatic disease.
Please get an Ultrasound abdomen for any clue.If it not conclusive,then CT Scan abdomen will confirm the diagnosis.
Some times,Ulcer in the posterior part of the stomach will cause pain in the back.Upper GI ENDOSCOPE will confirm it.
I prescribe Rabeprazole along with Levosulpiride for stomach ulcer .
Hope I answered your query. If you have any questions, I will clarify further.
Wish you good health.
Regards

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Above answer was peer-reviewed by : Dr. Shanthi.E