I suffered with similar symptoms for 8-years. I had severe pain immediately below my xiphoid process and about 1" to the RH side of the midline of my upper abdomen. The symptoms were constant. They were magnified when I laid flat on my back, when I ate a lot, when my stomach was empty and when I exercised vigorously. Unfortunately, even though I had my wife use a magic-marker to identify the area on my back that increased the pain my primary never examined the area nor did he order any scans. Also, despite my repeated requests to refer me to someone/anyone in the Sanford Health system that might help My primary refused to do so. I should have changed Dr.'s after the first 6-months but I trusted him. My primary Dr. had me try various dosages of Prilosec which over many months proved fruitless. Over many months he had me try tapering doses of prednisone which proved fruitless. I visited the ER on 6-occasions. I first visited Mayo in 2015 for this exact issue. Mayo performed gastric emptying tests and tested the strength of the muscle in my anus. Mayo wanted me to stay for 10-days to teach me how to poop. Mayo had a neurologist examine me. The app't took no longer than 20-minutes and I was told that I did not have a nerve problem. At no time did Mayo consider evaluating my spine despite me telling them what aggravated the pain. and was told to go home and take McKormick peppermint that I could pick up at Cub Foods. The peppermint burned my throat badly. Mayo then told me to purchase a OTC product called FD-Gard which contained peppermint extract. It did not help at all. The severe pain was with me every day. I ended up having 5-endoscopies and 1-endoscopic ultrasound which was performed at Abbott-Northwest. Eventually, I found a Dr. Paniotis Panagiotakis at MNGI that diagnosed me in 20-minutes as having AWP (abdominal wall pain). He was the Dr. that ordered the endoscopic ultrasound. That test showed that I had nothing wrong with my digestive tract. Dr. Boetticher's diagnosis was that I had, "a nerve problem" and that I see TC Spine Center which I did. TC Spine performed MRI's of my spine from top to bottom. Based upon those MRI's TC Spine determined that I had nothing wrong with my spine that should cause any pain. A research paper on AWP was written by Mayo's Dr. Seth Sweetser. I encourage you to find Dr. Sweetser's research paper on-line. In it, Dr. Sweetser says that AWP pain is very often overlooked and is very present in the population. He describes potential causes being ACNES (anterior cutaneous nerve entrapment syndrome). He also says that the symptoms of ACNES may be caused by Thoracic Nerve Radiculopathy. Dr. Sweetser's paper is too lengthy to repeat here. Ironically, I tried to get an app't with Dr. Sweetser but was turned down by Mayo on 9/15/21. saying there nothing more they had to offer. Suffice to say that once TC Spine said I had no issues in my spine I pursued the possibility that I had ACNES. After trips to Phoenix and a battery of diagnostic TPI's I pursued surgery for ACNES. That surgery was performed on 12/15/21 by Dr. Thomas Gillespie of St. Joseph's Hospital in Phoenix. Sadly, while the surgery can offer relief from the pain of ACNES the pain in my abdomen was not diminished. In 2/22 I contacted a spine surgeon at TC Spine named Dr. James Schwender. I did not meet Dr. Schwender but had a telephone visit. He looked at the EXACT same MRI's that another radiologist and spine specialist at TC Spine had looked at. His words to me were, "Mr. Olson, you have severe thoracic disease." On 5/25/22 Dr. Schwender performed surgery to decompress my RH T8-T9-T10 vertebrae. The pain in my abdomen disappeared after an 8-year long journey. There's more to this story if you are interested to hear more. Sorry for the long letter.