Abdominal and Back Pain: When to See a Gastroenterologist - Gastroenterology and Hepatology

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When it comes to abdominal and back pain, particularly after eating, it is essential to consider several factors that could contribute to your symptoms. Based on your description, it seems that your pain may be related to your recent dietary choices and possibly an underlying gastrointestinal issue.

Firstly, the sudden onset of abdominal pain after a meal, especially after consuming a heavy or rich meal like barbecue, can often be attributed to overeating or the consumption of fatty foods. The stomach can become distended and irritated, leading to discomfort that may radiate to the back. This is particularly true if you have a history of gastrointestinal issues, such as fatty liver disease, which you mentioned having. Fatty liver can sometimes be associated with digestive problems, and it may also affect how your body processes fats and sugars.

Additionally, your symptoms could indicate a potential issue with your pancreas, especially if you have experienced pain that radiates to your back. Conditions such as pancreatitis (inflammation of the pancreas) can cause significant abdominal pain that may extend to the back. However, pancreatitis typically presents with more severe pain and may be accompanied by other symptoms such as nausea, vomiting, fever, or changes in bowel habits.

Given that you have a history of abdominal discomfort related to eating, it is advisable to monitor your symptoms closely. If you find that your pain persists, worsens, or is accompanied by other concerning symptoms (such as fever, jaundice, or significant changes in bowel habits), it would be prudent to consult a gastroenterologist. They can perform a thorough evaluation, which may include blood tests, imaging studies, or endoscopic procedures to assess the health of your gastrointestinal tract.

In your case, since you have already undergone an abdominal ultrasound that revealed severe fatty liver, it would be wise to consider dietary modifications that can help manage this condition. Reducing the intake of high-fat and high-sugar foods, increasing physical activity, and maintaining a healthy weight can all contribute to better liver health and potentially alleviate some of your gastrointestinal symptoms.

In summary, while your symptoms may be related to overeating or dietary choices, it is essential to remain vigilant about any changes in your condition. If your abdominal and back pain continues or worsens, seeking the expertise of a gastroenterologist would be a prudent step. They can provide a comprehensive assessment and guide you on the appropriate management strategies for your symptoms and underlying conditions.