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Hi, I Have A Small Not Very Intense Pain Under

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Posted on Sun, 12 Jan 2020
Question: Hi,

I have a small not very intense pain under the lover ribs on the left side of my stomach. Its been 4 days I'm having this. I recently had a change in my diet. I started eating oats and bananas as I started going gym.
It's just one week I started gym. I have gas troubles and acidity too. I can feel the pain when I touch my lower ribs.
Dont' have any other symptoms such as fever, diarrhoea or constipation. I have attached an image and market a red circle where I feel the pain.

Please help me on this query.

Thanks,
Renjith R
doctor
Answered by Dr. Bhagyesh V. Patel (53 minutes later)
Brief Answer:
muscle pull likely following gym attendance.

Detailed Answer:
Hello XXXXXXX
Welcome to Ask A Doctor services.
I have read your query with attached photo image and here is my advise.

* As per my clinical experience, the pain involving lower ribs with history of
recent gym joining indicate muscle pull most likely through some sort of
exercise maneuver.

My guidelines at present

- If possible temporarily stop gym attendance as that will worsen the issue
more.
- Heating pad application over local area of pain for 5 minutes each 3 times
a day.
- Analgesic spray or ointment with diclofenac, linseed oil and menthol 3
times a day.
- As the intensity of pain is not of much amount, tablets for pain relief
should not be considered at this stage.

- Can have proton pump inhibitor as omeprazole ( 20 mg ) with sips of
water on empty stomach for acidity purpose.
- Consume your regular previous diet with avoidance of spices, non veg,
junk items, dairy fat if consuming.

Would like follow up progress at 24 hours or early as per your need.
Wish you best recovery.

Regards.
Dr Bhagyesh ( MS consultant surgeon )
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bhagyesh V. Patel (4 hours later)
So You are saying it doesn't have to do anything with stomach or internal organs. I was confused with pain and acidity came together.

Can you suggest some ointment names and medicine for gas. I didn't know which ointment/tablet contains the contents you mentioned above.
I'm living in XXXXXXX XXXXXXX So you can suggest medicine available here.
doctor
Answered by Dr. Bhagyesh V. Patel (5 hours later)
Brief Answer:
follow up.

Detailed Answer:
Hello
Welcome for follow up.

* The pain is more in concern with muscle pull, rather than gastric upset
which is known to provoke symptoms exactly in the midline at epigastrium
where your pain is not at that place.

* So far as ointment is concerned, anyone with content of diclofenac ( as
viviny gel or else ) would give best results.

* For gas issue capsule omez ( 20 mg ) morning and evening before meals
will serve best.

Wish you best health.
Regards.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 20405 Questions

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Hi, I Have A Small Not Very Intense Pain Under

Brief Answer: muscle pull likely following gym attendance. Detailed Answer: Hello XXXXXXX Welcome to Ask A Doctor services. I have read your query with attached photo image and here is my advise. * As per my clinical experience, the pain involving lower ribs with history of recent gym joining indicate muscle pull most likely through some sort of exercise maneuver. My guidelines at present - If possible temporarily stop gym attendance as that will worsen the issue more. - Heating pad application over local area of pain for 5 minutes each 3 times a day. - Analgesic spray or ointment with diclofenac, linseed oil and menthol 3 times a day. - As the intensity of pain is not of much amount, tablets for pain relief should not be considered at this stage. - Can have proton pump inhibitor as omeprazole ( 20 mg ) with sips of water on empty stomach for acidity purpose. - Consume your regular previous diet with avoidance of spices, non veg, junk items, dairy fat if consuming. Would like follow up progress at 24 hours or early as per your need. Wish you best recovery. Regards. Dr Bhagyesh ( MS consultant surgeon )