Stomach Pain and Back Pain – What You Need to Know

Stomach pain accompanied by back pain can be a symptom of various health issues, including chronic gastritis, peptic ulcers, or even gastroesophageal reflux disease (GERD). These conditions often present with irregular, dull upper abdominal pain that lasts for extended periods. In many cases, they are also associated with other digestive symptoms such as acid reflux, heartburn, and belching.

It's important to note that upper abdominal pain in middle-aged and older adults should not be automatically attributed to stomach problems. One critical aspect is ruling out cardiac conditions such as ischemic heart disease or coronary artery disease. In some cases, angina or heart-related pain may manifest as discomfort in the upper abdomen rather than the typical chest pain. This kind of cardiac-related pain is far more serious than common gastrointestinal disorders and requires immediate medical attention.

When back pain occurs alongside stomach pain, it could indicate a perforated duodenal ulcer, especially if the ulcer is located on the posterior wall. In such cases, the pain may radiate to the back and signal a potentially life-threatening situation. Early diagnosis through endoscopic examination is crucial to determine the exact cause and begin appropriate treatment.

While gastric issues are a common cause of upper abdominal discomfort, it's essential to consider other possible causes such as heart disease or severe gastrointestinal complications. Anyone experiencing persistent or severe stomach and back pain should seek professional medical evaluation to ensure accurate diagnosis and timely intervention.