Stomach pain

Patient: I get a pain in my stomach (high) that comes on suddenly and radiates upwards into my chest and back (shoulder blade area) and it feels like hunger pains. When my stomach growls it relieves the pain somewhat and eating is the only way to make it go away. Sometimes I can’t even get through the night without waking up in pain and having to eat something. Had this issue once many, many years ago and has now resurfaced. Any ideas?

Doctor: