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Why am I having back pain, palpable node under the jaw along with the GERD symptoms?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am in my late sixties, with a bodyweight of 180 lbs and a body height of 6' 1". I have been having the symptoms of GERD for six months. They got better with the tablet Omeprazole 20 mg for about two months. My upper endoscopy was done a month ago and it showed gastritis. After that, for the last four weeks, I am having stomach upset every morning, occasional mild nausea, and slight bloating after eating. However, my appetite is still fairly good.

Some new symptoms have developed recently like right mid-back pain that comes and goes away (not severe); then later, there was a burning low back pain which occurs on either right or left side. This occasional low-back pain is triggered by leaning against the lower back. There is also, at times, a palpable node under the left jaw and occasional itching on the neck.

I am taking the tablet Omeprazole 40 mg, the tablet Carafate, the tablet Pepcid AC 40 mg, and the tablet Metoprolol.

Answered by Dr. Albana Greca

Education:

MBBS

Professional Bio:

Dr. Albana Greca is a dedicated family physician committed to providing comprehensive and compassionate healthcare for patients of all ages. She focuses on preventive care, accurate diagnosis, and personalized treatment plans to support long-term health and well-being. Dr. Greca has experience managing a wide range of acute and chronic medical conditions, including lifestyle-related health concerns and routine family healthcare needs. Known for her caring and approachable nature, she believes in building strong patient relationships through clear communication and trust. Her goal is to help individuals and families achieve better health outcomes through evidence-based, patient-centered care.  

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

There are two main causes for your back pain:

  1. Musculoskeletal issues (due to nerve compression when leaning on your back).
  2. Kidney issues (you need to get urine analysis and an abdominal ultrasound done).

The presence of a palpable lymph node under your left jaw is due to any bad teeth you might have on that side.

Apart from medications, you need to adjust your diet as per your gastritis symptoms.

Hope this helps.

Patient's Query

Hi doctor,

Thanks for your response.

There have been many weeks of daily indigestion, because of the GERD; then there is the new and continuing mid-back pain also. I am doubtful about the pancreatic disease. Does that seem unlikely?

Answered by Dr. Albana Greca

Education:

MBBS

Professional Bio:

Dr. Albana Greca is a dedicated family physician committed to providing comprehensive and compassionate healthcare for patients of all ages. She focuses on preventive care, accurate diagnosis, and personalized treatment plans to support long-term health and well-being. Dr. Greca has experience managing a wide range of acute and chronic medical conditions, including lifestyle-related health concerns and routine family healthcare needs. Known for her caring and approachable nature, she believes in building strong patient relationships through clear communication and trust. Her goal is to help individuals and families achieve better health outcomes through evidence-based, patient-centered care.  

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I advise you to get further investigations done.

We can think over a lot of things but do not get stressed, that is why I suggest you go for an abdominal ultrasound to check for, not only pancreas but gallbladder diseases too. The ultrasound should be done early in the morning in a fasting state to evaluate the gallbladder and other internal organs better.

At your age, we should also evaluate the status of the kidneys because of common prostate issues. The abdominal ultrasound will check your prostate too so, better get an abdominal ultrasound and urine analysis done. If nothing positive comes in them, then it is a musculoskeletal problem.

Hope this helps.

Let me know if you have any other concerns.

Medically reviewed by iCliniq medical review team
Published At March 16, 2022
Reviewed At October 28, 2024

Education:

MBBS

Professional Bio:

Dr. Albana Greca is a dedicated family physician committed to providing comprehensive and compassionate healthcare for patients of all ages. She focuses on preventive care, accurate diagnosis, and personalized treatment plans to support long-term health and well-being. Dr. Greca has experience managing a wide range of acute and chronic medical conditions, including lifestyle-related health concerns and routine family healthcare needs. Known for her caring and approachable nature, she believes in building strong patient relationships through clear communication and trust. Her goal is to help individuals and families achieve better health outcomes through evidence-based, patient-centered care.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Albana Greca is a dedicated family physician committed to providing comprehensive and compassionate healthcare for patients of all ages. She focuses on preventive care, accurate diagnosis, and personalized treatment plans to support long-term health and well-being. Dr. Greca has experience managing a wide range of acute and chronic medical conditions, including lifestyle-related health concerns and routine family healthcare needs. Known for her caring and approachable nature, she believes in building strong patient relationships through clear communication and trust. Her goal is to help individuals and families achieve better health outcomes through evidence-based, patient-centered care.  

This doctor is not available for online consultations on the platform anymore.

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