I've been having severe stabbing pain in the epigastric regi

Patient : I've been having severe stabbing pain in the epigastric region on and off for months. I do not notice it immediately after eating but usually several hours later. The pain goes thru to the back and I have an urge to want to vomit but never do. The pain is so severe I need to curl up in fetal position sometimes. Leaning forward on occasion makes it worse. I had gallbladder U/S which was negative. Any ideas?
Symptoms:  Severe epigastric stabbing pain passing thru to the back
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