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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Stomach And Back Along With Tightness In Chest?

I have diabetes 2 and have controlled my sugar levels very well. Lately, I have been experiencing a pain in my stomach and back. It is a tightening pain around my middle and side and the pressure sometimes causes shortness of breath. The pain comes and goes if I sit or stand too much. Can you tell me what is causing this ? Is this stress, heart or ulcers????
Mon, 28 Mar 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history of controlled diabetes type 2 and experiencing pain in stomach and back. The pain is of tightening type and around middle and sides sometimes causing shortness of breath. The pain comes and goes and more on sitting or standing too much.
The causes can be related to esophagus or chest and heart and needs the following:
Clinical examination is very important as auscultation alone can help to know the sounds of breath whether asthma or something else, tenderness in the ribs, abdomen and so on.
Additional investigations are:
Upper GI endoscopy for esophagus, hiatus hernia, gastritis, ulcers and so on.
X-ray of the chest.
Ultrasonography of the abdomen.,
EKG to rule out cardiac problems and so on.
All these things will lead to a proper diagnosis and a plan for treatment.
Till then have PPI like Omeprazole, antacid, domperidone, small frequent meals and so on.


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What Causes Pain In Stomach And Back Along With Tightness In Chest?

Hi. Thanks for your query. Noted your history of controlled diabetes type 2 and experiencing pain in stomach and back. The pain is of tightening type and around middle and sides sometimes causing shortness of breath. The pain comes and goes and more on sitting or standing too much. The causes can be related to esophagus or chest and heart and needs the following: Clinical examination is very important as auscultation alone can help to know the sounds of breath whether asthma or something else, tenderness in the ribs, abdomen and so on. Additional investigations are: Upper GI endoscopy for esophagus, hiatus hernia, gastritis, ulcers and so on. X-ray of the chest. Ultrasonography of the abdomen., EKG to rule out cardiac problems and so on. All these things will lead to a proper diagnosis and a plan for treatment. Till then have PPI like Omeprazole, antacid, domperidone, small frequent meals and so on.