[54M] Experiencing persistent nausea and severe mid back pain

What might be happening

Based on the information you've provided, possible diagnoses include:

• 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 symptoms such as nausea and discomfort in the upper abdomen.

  • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or even surgery may be needed.

• Gastritis: This is an inflammation of the stomach lining. The symptoms can vary, but often include nausea, vomiting, and a feeling of fullness in your upper abdomen after eating.

  • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which helps relieve gastritis symptoms and promotes healing.

• Peptic Ulcer Disease: Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is abdominal pain, but nausea can also occur.

  • Treatment typically involves medications to decrease stomach acid. If the cause is a bacterial infection, antibiotics may be prescribed.

• Pancreatitis: This is inflammation of the pancreas, which can cause pain in the upper abdomen that radiates to the back. Nausea and vomiting are also common symptoms.

  • Treatment usually requires hospitalization, where you'll receive fluids, pain medication, and possibly treatment for underlying conditions.

• Gallstones: These are hardened deposits in the gallbladder that can cause abdominal pain and nausea, especially after eating.

  • Treatment may not be necessary unless the gallstones cause symptoms. In cases where treatment is needed, it may involve medication to dissolve the gallstones or surgery to remove the gallbladder.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the severity and persistence of your symptoms, it's important that you seek medical attention as soon as possible. Here are some steps you can take:

1. Schedule an appointment with your primary care physician. They can perform a physical examination and potentially order further tests, such as blood tests, an endoscopy, or imaging studies, to help determine the cause of your symptoms.
2. In the meantime, try to maintain a bland diet, avoiding spicy, fatty, and acidic foods, which can exacerbate gastrointestinal symptoms.
3. Stay hydrated, especially if your nausea has caused you to vomit.
4. Avoid lying down or going to bed immediately after eating, as this can worsen reflux symptoms.

What you should look out for

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

• Severe abdominal pain
• Blood in your vomit or stool
• Unintentional weight loss
• Difficulty swallowing
• Persistent vomiting

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.