Pain in the middle of the epigastric region with backache on the right side may be caused by a disease of the internal organs, or it may be due to stones or inflammation. Pain in the middle of the upper abdomen with right side backache may be due to some internal diseases like gastric and duodenal ulcers, gastritis etc. It can also be due to stones, such as kidney stones and gallstones, which need to be diagnosed by abdominal ultrasound or CT. The symptom is also often seen when there is inflammation in the body, such as cholecystitis and gastritis. If you have recurring severe epigastric pain, you need to go to a regular hospital in time, and only after the doctor diagnoses the cause of the disease, can you treat the cause. If not detected in time, it may jeopardize the patient’s life and health and quality of life.