Stomach Issues: Can Gastric Problems Cause Back Pain? - Gastroenterology and Hepatology

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Gastrointestinal issues


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? Additionally, I have pain and discomfort in the upper left abdomen and in the middle of my abdomen.
Is this related to my stomach?

Zǎi, 10~19 year old female. Ask Date: 2012/05/16

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.

Reply Date: 2012/05/16

More Info


Gastric issues can indeed lead to discomfort that radiates to other areas of the body, including the back. The connection between stomach problems and back pain is often overlooked, but it is quite common. When the stomach or gastrointestinal tract is inflamed or irritated, it can cause referred pain, which is pain perceived in a different location from its source. This phenomenon occurs due to the way nerves are interconnected in the body.

In your case, the discomfort in your left lower back and the sensations of pressure and pain could be related to your gastric issues. Conditions such as gastritis, gastroesophageal reflux disease (GERD), or even peptic ulcers can cause pain that may be felt in the back. The stomach is located in the upper abdomen, and when it is inflamed or under stress, it can lead to muscle tension or irritation of the nerves that supply the back, resulting in discomfort.

The symptoms you describe—bloating, pain, and regurgitation—are indicative of potential gastric problems. The upper abdominal pain, especially if it is localized to the left side, could suggest issues with the stomach or even the spleen, which is located in that area. Additionally, if you are experiencing discomfort in the middle of your abdomen, this could also be related to gastric issues, as the stomach and the upper part of the intestines are situated there.

It's important to consider that chronic gastric conditions can lead to changes in your eating habits, posture, and even stress levels, which can further exacerbate back pain. For instance, if you are experiencing discomfort after eating, you may unconsciously alter your posture, leading to muscle strain in the back. Moreover, the discomfort and pain can lead to tension and stress, which can also manifest as physical pain in the back.

To address these issues, it is crucial to consult with a healthcare professional who can perform a thorough evaluation. This may include a physical examination, imaging studies, or endoscopic procedures to assess the condition of your stomach and surrounding organs. Treatment may involve dietary modifications, medications to reduce stomach acid, and lifestyle changes to alleviate both gastric and back pain.

In the meantime, consider the following recommendations:
1. Dietary Changes: Avoid foods that trigger your symptoms, such as spicy, fatty, or acidic foods. Eating smaller, more frequent meals can also help reduce gastric discomfort.

2. Posture: Pay attention to your posture, especially when sitting or lying down. Maintaining a neutral spine can help reduce strain on your back.

3. Hydration: Ensure you are adequately hydrated, but avoid excessive amounts of carbonated beverages, which can increase bloating.

4. Stress Management: Engage in stress-reducing activities such as yoga, meditation, or gentle exercise, which can help alleviate both gastric and back pain.

5. Follow-Up: Keep track of your symptoms and follow up with your healthcare provider to discuss any changes or persistent issues.

In conclusion, while gastric problems can indeed cause back pain, it is essential to get a proper diagnosis and treatment plan tailored to your specific situation. By addressing both your gastric issues and any associated back pain, you can work towards improving your overall health and well-being.

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