Can Stomach Ulcers Cause Back Pain? Your Symptoms - Gastroenterology and Hepatology

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Stomach ulcers, also known as peptic ulcers, can indeed cause a variety of symptoms, including abdominal pain, nausea, and in some cases, back pain. However, the relationship between stomach ulcers and back pain is not straightforward and can be influenced by several factors.

When a person has a stomach ulcer, the pain is typically localized to the upper abdomen, often described as a burning or gnawing sensation. This pain can sometimes radiate to the back, particularly if the ulcer is located in the duodenum (the first part of the small intestine) or if there is irritation of surrounding tissues. The pain may worsen after eating, especially if the meal is rich in fats or spices, which can stimulate acid production and exacerbate ulcer symptoms.

In your case, you mentioned experiencing back pain after taking medication for a urinary tract infection and consuming a rich meal. It’s possible that the back pain you are experiencing is not directly caused by the stomach ulcer but could be related to other factors. For instance, consuming a heavy meal, especially one that is high in fat, can lead to increased gastric acid production and may aggravate ulcer symptoms, leading to discomfort that can be felt in the back. Additionally, if you have been taking pain medications like ibuprofen (if that is what you meant by "利百寧"), these can also irritate the stomach lining and potentially worsen ulcer symptoms.

Moreover, your recent visit to a neurologist and the X-ray results indicating no issues with your spine suggest that the back pain may not be musculoskeletal in nature. However, inflammation of the spine, known as spondylitis, can sometimes cause referred pain that might be confused with gastrointestinal discomfort.
It’s important to consider that stress and anxiety can also exacerbate gastrointestinal symptoms. If you have been under stress, this could contribute to both your ulcer symptoms and any back pain you are experiencing.
Given your symptoms and the complexity of your situation, here are a few recommendations:
1. Dietary Adjustments: Continue to avoid rich, fatty, or spicy foods that can irritate your stomach. Eating smaller, more frequent meals may help manage your symptoms better than larger meals.

2. Medication Review: Discuss with your healthcare provider the medications you are taking, including any over-the-counter pain relievers. Some medications can cause gastrointestinal irritation, which may exacerbate ulcer symptoms.

3. Follow-Up Care: Since your back pain persists, consider following up with your healthcare provider. They may recommend further imaging studies or refer you to a specialist if necessary.

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

5. Hydration: Ensure you are staying well-hydrated, but avoid excessive consumption of carbonated beverages, which can increase bloating and discomfort.

6. Monitor Symptoms: Keep a detailed diary of your symptoms, including when they occur, their severity, and any potential triggers. This information can be invaluable for your healthcare provider in determining the best course of action.

In conclusion, while stomach ulcers can cause back pain, it is essential to consider other potential causes, including dietary factors, medication side effects, and stress. A comprehensive approach that includes dietary management, medication review, and follow-up care will be crucial in addressing your symptoms effectively.