[36F] With acute upper abdominal pain and associated upper back pain

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Gallstones (Cholelithiasis): Gallstones can cause sudden and severe upper abdominal pain that may radiate to the back. This pain often occurs after eating a fatty meal. Given your family history of gallstones, this is a possibility.

  • Typical Treatments/Testing: Diagnosis is usually confirmed with an ultrasound. Treatment may involve dietary changes, medications to dissolve the stones, or surgical removal of the gallbladder if the stones are causing significant problems.

• Gastritis or Peptic Ulcer Disease: Inflammation of the stomach lining or ulcers can cause sharp upper abdominal pain. This pain can sometimes radiate to the back.

  • Typical Treatments/Testing: Diagnosis may involve endoscopy or imaging studies. Treatment typically includes medications to reduce stomach acid and protect the stomach lining, along with lifestyle and dietary changes.

• Pancreatitis: Inflammation of the pancreas can cause severe upper abdominal pain that radiates to the back. This condition can be serious and requires prompt medical attention.

  • Typical Treatments/Testing: Diagnosis is usually confirmed with blood tests and imaging studies like a CT scan. Treatment often involves hospitalization, fasting to rest the pancreas, pain management, and IV fluids.

• Musculoskeletal Issues: Sometimes, pain in the upper abdomen and back can be due to muscle strain or other musculoskeletal problems.

  • Typical Treatments/Testing: Diagnosis is usually clinical, based on physical examination. Treatment may involve rest, physical therapy, and pain relief medications.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Avoid Fatty Foods: Since gallstones can be triggered by fatty meals, try to avoid high-fat foods until you can see a doctor.
2. Stay Hydrated: Drink plenty of water to stay hydrated, especially if you are experiencing pain.
3. Use Over-the-Counter Pain Relief: Medications like acetaminophen (Tylenol) can help manage pain, but avoid NSAIDs like ibuprofen, which can worsen stomach issues.
4. Rest: Try to rest and avoid activities that may exacerbate your pain.
5. Monitor Symptoms: Keep track of your symptoms, including any changes or new symptoms that develop. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe, unrelenting pain that does not improve with over-the-counter pain relief
• Fever or chills, which could indicate an infection
• Yellowing of the skin or eyes (jaundice)
• Vomiting, especially if it is persistent or severe
• Blood in your stool or vomit
• Difficulty breathing or swallowing

Remember, while I can provide information and suggestions, I am not a doctor. It's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.