[40F] Experiencing backache and indigestion

Patient Description

A 40-year-old female presents with a dull backache localized in the middle of the back, rated as 5 out of 10 in severity, which has been occurring on and off for months. The pain is worse in the morning and midday, and Advil provides some relief. Additionally, the patient has been experiencing indigestion for several months, described as a burning sensation in the stomach with a severity of 6 out of 10, accompanied by a sour stomach. There are no identified food triggers or recent injuries. The patient has an allergy to amoxicillin but is not currently on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Musculoskeletal Back Pain: This is a common condition, especially in adults, and can be caused by strain, poor posture, or underlying conditions like arthritis. The pain is often worse in the morning and may improve with movement.

    • Treatment usually involves over-the-counter pain relievers, physical therapy, and lifestyle modifications such as improving posture and strengthening exercises.
  • Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing a burning sensation in the stomach, sour stomach, and indigestion.

    • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, prescription medications or even surgery might be an option.
  • Gastritis: This is an inflammation of the stomach lining, often caused by the same bacteria that cause most stomach ulcers. It can also be caused by regular use of certain pain relievers or drinking too much alcohol.

    • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which helps relieve gastritis symptoms and promotes healing.
  • Peptic Ulcer Disease: These are sores that develop in the lining of the stomach, lower esophagus, or small intestine. They're usually caused by inflammation caused by the bacteria H. pylori, or from erosion caused by stomach acids.

    • Treatment typically involves medications to decrease stomach acid and antibiotics to kill H. pylori, if present.

Please note that these are potential explanations for your symptoms based on the information you've provided, but they are not definitive diagnoses.

What you can do

Here are some steps you can take:

  1. For your backache, try to maintain good posture, engage in low-impact exercise like swimming or walking, and take over-the-counter pain relievers as needed.
  2. For your indigestion and sour stomach, try to identify and avoid foods that trigger your symptoms. Over-the-counter antacids may help. Eating smaller, more frequent meals instead of three large meals a day may also help.
  3. Avoid lying down or going to bed soon after eating, as this can exacerbate GERD symptoms.
  4. Avoid alcohol and caffeine, which can irritate the stomach lining.
  5. If you smoke, try to quit. Smoking can increase stomach acid and make gastritis worse.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe, sudden, or persistent back pain
  • Back pain accompanied by fever, loss of bowel or bladder control, pain when coughing, or progressive weakness in the legs
  • Indigestion accompanied by shortness of breath, sweating, or pain radiating to the jaw, neck, or arm
  • Stomach pain with nausea, vomiting, or weight loss
  • Dark or bloody stools or vomit that looks like coffee grounds

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are common causes of middle back pain that worsens in the morning?

Common causes of middle back pain that worsens in the morning include musculoskeletal issues such as poor posture, muscle strain, or conditions like arthritis. These can often be managed with physical therapy, posture improvement, and over-the-counter pain relievers.


How can I manage symptoms of GERD at home?

To manage GERD symptoms at home, try eating smaller, more frequent meals, avoid lying down soon after eating, and identify any food triggers. Over-the-counter antacids can also provide relief. Avoiding alcohol, caffeine, and smoking can help reduce symptoms.


What lifestyle changes can help alleviate gastritis symptoms?

Lifestyle changes that can help alleviate gastritis symptoms include avoiding alcohol and caffeine, eating smaller meals, and avoiding foods that irritate the stomach. Over-the-counter antacids may also help reduce stomach acid and relieve symptoms.


When should I seek medical attention for indigestion or stomach pain?

You should seek medical attention for indigestion or stomach pain if you experience severe, sudden, or persistent pain, pain accompanied by shortness of breath, sweating, or radiating pain, or if you have dark or bloody stools or vomit that looks like coffee grounds.


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