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Thanks for your question.
How long you have this pain?
I fist noticed it about 3 weeks ago? I thought it was related to the stomach issue of gastroparesis. I did wake up a couple of times with pain that radiated to the R upper chest area. The pain has been constant for the past 4 days now. I don't take Tyl or NSAIDs. I use a TENS unit for general muscle pain. I have been NPO for 36 hours. The pain woke me up at 03:20 hrs and hasn't changed in character. Thanks.
this can be related to gallbladder problem like stones
liver problem unlike since you do not have nausea or anorexia.
but this should also be checked.
an ultrasound of the RUQ will be good for that
If that is negative then this can be related to the back problem.
gastroparesis unlike as this will again cause nausea, vomiting etc.