[34F] Experiencing sharp diaphragm pain radiating to back

What might be happening

Based on the information you've provided, here are some potential causes for your symptoms:

• Hiatal Hernia: This occurs when part of the stomach pushes up through the diaphragm. Symptoms can include sharp pain in the diaphragm area that radiates to the back, especially when lying down or after eating.

  • Treatment: Lifestyle changes such as eating smaller meals, avoiding certain foods, and not lying down immediately after eating can help. Medications to reduce stomach acid and, in severe cases, surgery may be necessary.

• Gallbladder Issues (e.g., Gallstones or Cholecystitis): Gallbladder problems can cause sharp pain that starts below the breastbone and radiates to the back. The pain often worsens after eating fatty foods.

  • Treatment: Depending on the severity, treatment can range from dietary changes to medications for pain and inflammation, and in some cases, surgery to remove the gallbladder.

• Appendicitis: Although less common, appendicitis can cause sharp abdominal pain that radiates to the back. This condition usually requires urgent medical attention.

  • Treatment: Appendicitis typically requires surgical removal of the appendix.

• Musculoskeletal Issues: Given your history of hernia surgery and recent tubal ligation, it's possible that muscle strain or issues related to the mesh implant could be contributing to your pain.

  • Treatment: Rest, pain relievers like Tylenol, and possibly physical therapy can help manage musculoskeletal pain.

What you can do

1. Seek Medical Attention: Given the severity and nature of your symptoms, it's important to consult a healthcare provider as soon as possible. They can perform a thorough examination and may order tests such as blood work, imaging studies (like an ultrasound or CT scan), or endoscopy to determine the cause of your pain.
2. Pain Management: Continue taking Tylenol as needed for pain relief. Avoid activities that exacerbate your pain.
3. Dietary Adjustments: Avoid heavy, fatty, or spicy meals that could aggravate your symptoms. Eating smaller, more frequent meals might help.
4. Rest: Try to rest as much as possible and avoid strenuous activities until you can see a healthcare provider.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe or worsening pain
• Fever or chills
• Nausea or vomiting
• Yellowing of the skin or eyes (jaundice)
• Blood in your stool or urine
• Difficulty breathing or chest pain

Remember, while I can provide information based on your symptoms, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.