<s>[INST] Hi, yes I would like to know what could be causing a tightness across the upper abdoman. It is present all the time and I have been having this for the last 4 years. Sometimes I have to stand up if I am sitting or have to go lay down because it is so uncomfortable. Also I don t know if this is associated with it but every morning I wake up or even just wake up from a nap I have a really bad headache across the back of my head with pain in my neck that runs down into my upper back. Thank you [/INST] HI. As this is there for 4 years means you must have shown to many Doctors and must have taken medicines too . Go for MRI of the spine you will get the problem responsible for both the problems you have. </s>