Is There a Connection Between Stomach Pain and Back Pain? - Gastroenterology and Hepatology

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Is there a connection between stomach pain and back pain?


Hello, doctor: I have been experiencing discomfort in my stomach for one to two months, and I feel that pressing on the acupressure points in my back also causes pain.
Is this normal, or could it be indicative of another condition? Which specialist should I see?

KAREN, 20~29 year old female. Ask Date: 2001/03/09

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, online friend: Discomfort in the upper abdomen (stomach pain) can radiate to the back (acupuncture points?).
However, it is still recommended to visit a gastroenterology clinic for a thorough examination.
Wishing you safety!

Reply Date: 2001/03/09

More Info


The relationship between stomach pain and back pain is a complex one, as both can stem from various underlying conditions. It's not uncommon for individuals experiencing gastrointestinal issues to also report discomfort in the back, particularly in the upper back region. This phenomenon can be attributed to several factors, including referred pain, muscle tension, and the interconnectedness of the body's systems.

Referred pain occurs when pain is perceived in one area of the body while originating from another. For example, conditions affecting the stomach, such as gastritis, peptic ulcers, or gastroesophageal reflux disease (GERD), can lead to discomfort that radiates to the back. This is particularly true for the upper back, as the nerves that supply the stomach also innervate the back muscles. Therefore, inflammation or irritation in the stomach can manifest as pain in the back.

Additionally, muscle tension can play a significant role in this connection. When individuals experience stomach pain, they may unconsciously tense their back muscles in response to discomfort. This tension can lead to muscle strain and exacerbate back pain. Furthermore, if a person is experiencing nausea or discomfort, they may adopt postures that place additional strain on their back, leading to further pain.

In your case, if you have been experiencing stomach discomfort for one to two months and are noticing associated back pain, it is essential to consider a few key points. First, it would be prudent to consult a gastroenterologist, a specialist in digestive disorders, to evaluate your stomach issues. They may recommend diagnostic tests such as an endoscopy or imaging studies to determine the underlying cause of your gastrointestinal symptoms. Conditions such as gastritis, ulcers, or even gallbladder disease could be contributing to your discomfort.

If your gastrointestinal evaluation does not reveal any significant issues, it may be worthwhile to consult a physical therapist or a specialist in musculoskeletal disorders. They can assess your posture, muscle tension, and any potential biomechanical issues that may be contributing to your back pain. Treatment may involve physical therapy, exercises to strengthen the back and core muscles, and strategies to improve posture and reduce muscle tension.

In summary, while there can be a connection between stomach pain and back pain, it is essential to approach this issue holistically. Addressing both the gastrointestinal symptoms and the musculoskeletal aspects will provide a more comprehensive understanding of your condition and lead to more effective treatment. Don't hesitate to seek medical advice from the appropriate specialists to ensure that you receive the best care tailored to your specific needs.

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