<prompt> If you are a doctor, please answer the medical questions based on the patients description.hi im haveing abdominal pain in the epiggastric region ... it happens once every few months its a dull pain that gets worse and worse i can feel it in my mid back then after 10 min it gose away for like i said weeks or months ... and its only in my uper abdominal .. im M26  <response>: Hi. Thanks for your query. You are a young male of 26 years. The probable cause of intermittent sudden pain in the epigastric region, with pain in the mid-back can be due to the following reasons. -Gastric ulcer cancer with involvement of the posterior back part of the stomach wall. -Pancreatitis, may be with stones in the pancreatic ducts. I would suggest in such a patient the following:Upper GI Endoscopy and CT can of the abdomen. MRCP if required. 