Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation of Yours, seem to suffer from-IBS with GERD with
Acute Gastritis with Giardiasis?Back pain lately is also from the Lower esophagitis
Other causes of Chest and back pain like-IBS C with ano-rectal piles,
fissure in ano,Crohn's disease ,Gall stones with post-obstruction hepatitis,
pyloric stenosis with
Duodenal Ulcer,need to be ruled out.
Second opinion from Surgeon / Physician need to be taken to resolve these pains.
This plan would reduce your dilemma pain with nausea in lower chest and back .
Hope this would help you to plan further of this complex illness of yours.
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You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS