<s>[INST] I have a hard and extended upper stomach and severe pain in my back associated with it. I thought it was gas that wasnt routing itself properly or not releasing? It is extremely painful ive tried a blander diet but it rears its ugly head at a moments notice. This has been going on for 5yrs and i have no Dr or insuance?? Thanks, Carrie [/INST] Hi      Thanks for using Health Care Magic Forum,     Pain in upper stomach may be due to Gastritis / Peptic Ulcer disease Abdomen pain associated with back pain is to be investigated by Ultrasound Abdomen to rule out Calculi formation.     Avoid spicy foods.      Do not constipate.     Drink Plenty of Water.I Hope I Provided Useful Information. Do ask Furthur Questions to help You get well soon.RegardsDr.J.Kingson John David </s>