Conversation: The conversation between human and AI assistant.
[|Human|] hello, I have noticed within the past month that I have had a strange pain in the middle of my upper back between my shoulder blades right in the middle, I have also been having coming and going upper stomach pains mostly in the middle to the right side. Now I seem to be itching in those places as well. Im concerned it is something serious.
[|AI|]  Hello! Thank you for the query. Upper abdominal pain radiating to the back is usually caused by gallstones. It usually appears after a fatty food. Nausea and vomiting can also appear. The main problem with gallstones is that if they migrate to the bile ducts or pancreas ducts, jaundice or even acute pancreatitis can be appeared. One of the jaundice symptoms is whole body itching. It does not have to be in the close to pain areas. Stool usually gets pale or white, urine becomes darker. If you find these symptoms similar to yours, you should visit your doctor and have it diagnosed. Abdominal ultrasound, blood work, liver tests should be done. Hope this will help. Regards.