<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, the last few weeks I have had pain in the top of my abdomen that radiates around to my back, to start with it was on and off and would settle but the last week it has been constant and has been intensifying to the point where I feel sick and have trouble breathing. It gets worse after eating and trying to lie down increases the pain in my back. Not sure what I can take to help the pain or what it is causing it  <response>: Hi. Thanks for your query. Noted the history and understood your concerns. Pain in abdomen n the top for the last few weeks along with pain radiating to the back can be due to the following reasons:Gastric ulcer on the posterior wall. Pancreatitis. Or rarely the lymph node mass or some problem in any of the retro-peritoneal structures of abdomen. I would advise you the following in such a situation:Get the clinical evaluation by a Gastroenterologist. Upper GI Endoscopy to rule out gastric and acidity related problems. CT can of the abdomen to see for the pancreas and other structures. Relevant tests of blood, urine and stool. Get started on appropriate medications as advised. PPI like Pantoprazole, antispasmodics and painkillers as needed. Liquid diet. Further management as per the reports. 