### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi. Three months ago, I began having pains in my back that feel like twisting stabs to my left shldr blade, sometimes throbby pain, accompanied by anxiety . Sometimes it s accompanied by dull pain in the upper abdomen in the center just below where my ribs meet. My GI doctor ordered a HIDA scan to investigate the gallbladder function. I m scared because a friend said a man she knew died recently from pancreatic cancer , and the first symptom he had was stabbing back pain . I would like to know if you have any suggestions other issues this pain may be related to, or other tests I should discuss with my doctor. Thank you

### output:

Hi there, Thanks for writing in. Please follow your GI doctors advise and get the HIDE scan done. And please be optimistic. Just because somebody has pancreatic cancer does not mean you have it too. Gall stones or Gall bladder inflammation (cholecystitis) might be the cause of your stabbing back pains with radiation to the shoulder blade. Other possibilities are acidity/ pancreatitis/gastritis/ peptic ulcer/Anxiety etc. Has an ultrasound abdomen (USG) or GI endoscopy been done? I would like you to follow the following general measures.1. Avoid oily, spicy, deep-fried/fatty foods.2.  Chat Doctor. 3. Sign up for yoga classes. Deep breathing exercises will help you to relax and be calm. Yoga will take care of the anxiety issues.4. Have frequent small meals rather than 3 large meals a day. I hope I have answered your question. Please do get back to me if you have further queries. Get well soon :) 