Is Right Side Back Pain Related to Stomach Issues? A Doctor's Insight

Is the pain on the right side of the waist related to stomach pain?

Hello Doctor: I experience stomach pain almost every month, primarily in the middle of my abdomen and on the right side of my lower back, with the pain alternating between these areas.
The pain usually starts around 9 PM, making it too late to see a doctor.
Previously, the pain would alternate between both sides, but two days ago, I felt pain alternating between both sides, and then around 6 PM the next day, the pain shifted to my right lower back.
However, the sensation felt similar to my usual stomach pain.
This time, I did not feel any pain in the middle of my abdomen; it was only my right lower back that hurt.
Later that night, around 5 AM, I noticed pain in the middle of my abdomen, so I took several antacids and yogurt before going back to sleep.
When I woke up at 11:30 AM, the pain in my right side and middle abdomen had subsided.
I usually go to bed around 3 AM, so I am wondering if this indicates a problem with my kidneys.
I previously underwent an endoscopy, and the doctor mentioned that I have gastroesophageal reflux disease (GERD), but he suggested that the pain in my abdomen and right lower back could be due to other reasons.
This pain and the discomfort in my right lower back have been troubling me for a long time, so I would like to know if I should see a doctor.
However, I am unsure whether to consult a gastroenterologist or a nephrologist.

Ke Ye, 30~39 year old female. Ask Date: 2014/04/25

Dr. Chen Jianyu reply Internal Medicine

You should see a doctor; it's advisable to consult a gastroenterologist first.
Wishing you good health.

Reply Date: 2014/04/25

More Info

Right side back pain can indeed be related to stomach issues, but it is essential to consider various factors and potential underlying conditions. Based on your description, it seems that you have been experiencing recurrent abdominal pain, particularly in the middle and right side, which may be associated with your diagnosed gastroesophageal reflux disease (GERD). However, the nature of your pain and its location could suggest other possibilities as well.

Firstly, it's important to understand that the stomach and the surrounding organs, including the liver, gallbladder, and kidneys, are all located in the upper abdominal area. Pain in the right side of the abdomen or back can sometimes be referred pain from these organs. For example, gallbladder issues, such as gallstones or cholecystitis, can cause pain that radiates to the right side of the back. Similarly, kidney stones or infections can lead to pain in the lower back or side, which may be mistaken for gastrointestinal discomfort.

Your symptoms of alternating pain in the abdomen and right side, particularly if they occur after eating, could indicate a connection to your digestive system. GERD can cause discomfort in the upper abdomen and may lead to referred pain in the back. Additionally, if you are experiencing bloating or discomfort after meals, it could suggest that your digestive system is not processing food effectively, which may contribute to your pain.

Given that you have already undergone an endoscopy, which revealed GERD, it is crucial to follow up with your healthcare provider if your symptoms persist or worsen. While GERD can cause significant discomfort, the presence of right-sided back pain, especially if it feels similar to your abdominal pain, warrants further investigation. It may be beneficial to consult a gastroenterologist to explore whether there are any additional gastrointestinal issues at play, such as gastritis or peptic ulcers, which could be contributing to your symptoms.

On the other hand, if your pain is predominantly in the back and you have concerns about kidney issues, it would be prudent to consult a nephrologist (kidney specialist). They can perform tests such as urinalysis or imaging studies to rule out any kidney-related problems.

In terms of management, it is essential to maintain a healthy diet and lifestyle. Avoiding trigger foods that exacerbate GERD, such as spicy foods, caffeine, and fatty meals, can help alleviate symptoms. Additionally, staying hydrated and incorporating regular physical activity can improve overall digestive health and may help reduce the frequency of your symptoms.

If you are experiencing significant pain or changes in your symptoms, do not hesitate to seek medical attention. It is better to err on the side of caution, especially when it comes to persistent pain that affects your quality of life. Your healthcare provider can guide you on the appropriate next steps, whether that involves further diagnostic testing or a referral to a specialist.

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