Back Pain and Abdominal Discomfort: Is It Pancreatic Issues?

Back pain and a feeling of heaviness in the abdomen?

Hello doctor, I had an endoscopy six months ago, which indicated that I have gastroesophageal reflux disease (GERD) and esophagitis.
I have been on medication for six months and have lost weight from 100 kg to 80 kg, but I still experience abdominal bloating, back pain, frequent belching, and occasional heart rates around 100 beats per minute.
My weight has not decreased further, and my appetite is still good.
I am concerned that there might be an issue with my pancreas.

Yang, 20~29 year old female. Ask Date: 2022/09/24

Dr. Lin Minghui reply Gastroenterology and Hepatology

A 23-year-old male is experiencing back pain and a feeling of heaviness in the abdomen, with a history of gastroesophageal reflux disease (GERD) that is managed with medication and weight loss.
He reports abdominal bloating, back pain, frequent belching, and occasional heart rates around 100 beats per minute.
He is concerned about potential pancreatic issues.
It is advised to maintain a regular diet and control food intake.
He should avoid greasy foods, sweets, and foods that can increase gastric acid to prevent GERD flare-ups.
Irregular eating habits, hyperglycemia, hyperlipidemia, gallstones, biliary diseases, and pancreatic diseases are all related.
If he is worried about pancreatic disease, he should visit a clinic for blood tests and an ultrasound.
Wishing you good health! Dr.
Lin's response!

Reply Date: 2022/09/24

More Info

It sounds like you are experiencing a complex set of symptoms that can be quite concerning, especially given your history of gastrointestinal issues and significant weight loss. Let's break down your situation and address your concerns regarding potential pancreatic problems.

First, it's important to understand that abdominal discomfort and back pain can arise from various sources, including the gastrointestinal tract, musculoskeletal system, or even referred pain from other organs. In your case, you mentioned having gastroesophageal reflux disease (GERD) and esophagitis, which can indeed cause symptoms like abdominal bloating and back pain. The connection between the esophagus and the back is well-documented, as irritation or inflammation in the esophagus can lead to referred pain in the upper back.

Your weight loss from 100 kg to 80 kg is significant, and while it may be beneficial for your overall health, it is essential to ensure that it is not due to an underlying medical condition. You mentioned that your appetite is still good, which is a positive sign, but persistent abdominal bloating and back pain warrant further investigation.

Regarding your concerns about pancreatic issues, it is crucial to consider the symptoms associated with pancreatic disorders. Conditions such as pancreatitis or pancreatic cancer can present with abdominal pain, back pain, and changes in appetite. However, you have not reported classic symptoms such as severe abdominal pain radiating to the back, jaundice, or significant changes in stool characteristics (like oily stools, which can indicate malabsorption due to pancreatic insufficiency).

Your previous tests, including endoscopy, have indicated issues with the esophagus, but they have not directly assessed the pancreas. If you are experiencing persistent symptoms, it may be worthwhile to discuss further imaging studies with your healthcare provider. While MRI and CT scans are commonly used to evaluate pancreatic conditions, an endoscopic ultrasound (EUS) can also provide detailed images of the pancreas and surrounding structures and may be particularly useful if there is a concern for pancreatic pathology.

Additionally, your mention of an elevated heart rate (tachycardia) could be related to anxiety, pain, or even dehydration, especially if you are experiencing gastrointestinal discomfort. It's essential to monitor this symptom and discuss it with your doctor, as it may require further evaluation.

In summary, while your symptoms could potentially be related to pancreatic issues, they are more likely linked to your existing gastrointestinal conditions, such as GERD and esophagitis. However, given your ongoing discomfort and weight loss, it is advisable to have a thorough evaluation that may include imaging studies of the pancreas and possibly a referral to a gastroenterologist for further assessment. Regular follow-up with your healthcare provider is crucial to monitor your symptoms and adjust your treatment plan as necessary.
Lastly, maintaining a healthy diet, managing stress, and adhering to your prescribed medications can significantly impact your overall well-being. If you have concerns about your symptoms or the effectiveness of your current treatment, do not hesitate to reach out to your healthcare provider for guidance.

Similar Q&A

Understanding Symptoms and Diagnosis of Pancreatitis: A Guide

Hello, Dr. Lee. I would like to ask about the following symptoms: I often feel discomfort in the left side of my mid-back (sometimes in the front area), with a slight pain, especially after meals. I also experience indigestion and difficulty with bowel movements, and I try to eat...

Dr. Li Junde reply Surgery
Hello Ms. Chun, the pain in your left back becomes more pronounced after eating. This could potentially be related to gastrointestinal, biliary, or pancreatic issues, and even cardiac problems may be a possibility. It is advisable to first consult a general internist for an initi...

Understanding Pancreatic Issues: Causes of Abdominal and Back Pain

Chronic lower abdominal pain that gradually extends to the pelvic area, along with left lower back pain, raises the question of whether pancreatic diseases can cause lower abdominal pain. Additionally, pain around the navel and left lower back pain are noted. An abdominal ultraso...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: An abdominal ultrasound typically examines five organs: the liver, gallbladder, pancreas, spleen, and kidneys. However, a retroperitoneal ultrasound, located in the posterior abdominal cavity, is often affected by intestinal gas, making it more challenging to visualize. Ne...

Understanding Stomach Issues: Can Gastric Problems Cause Back Pain?

A few days ago, I experienced discomfort in my stomach, including bloating, pain, and nausea. The next day, I woke up with discomfort in my left lower back, feeling pressure and soreness that has persisted for several days. Can stomach issues cause discomfort in the lower back? A...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Abdominal pain and discomfort cannot be solely determined by location; it is advisable to consult a gastroenterologist for examination. Best wishes, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.

Severe Back Pain: Understanding Gastrointestinal and Liver Issues

Hello Doctor: I have been experiencing pain in my back and stomach for over a week now. Recently, I have been unable to bend my back due to severe pain, and it hurts even when I'm not moving. I'm not sure what is wrong. I have already seen a gastroenterologist, who has ...

Dr. Hu Guozheng reply Gastroenterology and Hepatology
Hello! Sudden or chronic back pain is a warning sign. It's important to pay attention to the exact location of the pain, such as the upper back, lower back, or elsewhere, and to note if there are any accompanying symptoms. It is advisable to visit the appropriate specialty c...