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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sharp Pain In The Upper Abdomen Radiating Towards Back?

I have experienced sharp pain in my upper abdomen right under the breast area which radiated to the back. It passed in 5 minutes. I have had this symptom before but this time I passed out. I have had my heart checked out and that seems to be fine. What might be the cause?
Wed, 17 Aug 2016
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General & Family Physician,  's  Response
Any severe acute pain in the abdomen or back should suggest the possibility acute pancreatitis. Other causes include acute cholecystitis and biliary colic, acute intestinal obstruction, mesenteric vascular occlusion, renal colic, myocardial infarction, dissecting aortic aneurysm, connective tissue disorders with vasculitis and diabetic ketoacidosis. Cause needs to be investigated
Advice
1.     Investigations:
a.     Ultrasound whole abdomen
b.     CT scan of abdomen
c.     Serum amylase and lipase
d.     Total and differential leukocyte count
e.     Serum creatinine
f.     Blood sugar (F & PP)
g.     Serum bilirubin
h.     Serum calcium
Thanks
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What Causes Sharp Pain In The Upper Abdomen Radiating Towards Back?

Any severe acute pain in the abdomen or back should suggest the possibility acute pancreatitis. Other causes include acute cholecystitis and biliary colic, acute intestinal obstruction, mesenteric vascular occlusion, renal colic, myocardial infarction, dissecting aortic aneurysm, connective tissue disorders with vasculitis and diabetic ketoacidosis. Cause needs to be investigated Advice 1. Investigations: a. Ultrasound whole abdomen b. CT scan of abdomen c. Serum amylase and lipase d. Total and differential leukocyte count e. Serum creatinine f. Blood sugar (F & PP) g. Serum bilirubin h. Serum calcium Thanks