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Q. What is the cause of my upper back pain?

Answered by
Dr. Saravan Pramod Settipalli
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 20, 2018

Hello doctor,

I have been experiencing discomfort and pain in the upper right side of my back leading to my neck for about a week. Ice, heat, cream, and Ibuprofen do not seem to work. Now, the discomfort and the pain has circulated off and on from my back to my abdominal area and my torso. Could this be related to stress, or could this be related to having gas in your body or is it ulcer related?

Dr. Saravan Pramod Settipalli

General Medicine Internal Medicine


Welcome to

Your symptoms are suggestive of GERD (gastroesophageal reflux disease). I advise you do an upper GI (gastrointestinal) endoscopy to know the cause.

I suggest you take tablet Pantop (Pantoprazole) 40 mg once daily for 14 days.

For more information consult an internal medicine physician online -->

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Thank you doctor,

It is funny you said that because I had an anal endoscopy procedure five months ago. No cancer was found at all. But, I was told that I had high-grade lesions that may lead to cancer in a couple of years. I am due back in a week to get settled for treatment options to prevent it. Could it be precancerous cells that are trying to come up?

Dr. Saravan Pramod Settipalli

General Medicine Internal Medicine


Welcome back to

What you had undergone was a colonoscopy which is different from an endoscopy. Unless a biopsy was done we cannot say if it was cancerous or not. Colonoscopy is the endoscopic examination of the large bowel and the distal part of the small bowel.

I want to know whether colonoscopy was done as a screening procedure or just as a routine checkup. There are a few indications for colonoscopy. It is usually not done as a regular procedure.

There are a few indications like bleeding per rectum, ulcerative colitis, Crohn's disease, chronic diarrhea, or constipation, etc. Let me know if you had any of these.

Revert with more information to an internal medicine physician online -->

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