question: I have pain in my upper left back. It is worse after eating or drinking, and when I m tired. I noticed the same area had a tiny itchy spot in the last 2 years (with no rash or redness). The pain has been present for 1 1/2 years, but it has gotten substantially worse in the last 6 months. I have Crohn s disease (have been in remission for 15 years), and am treated for related arthritis.