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Suggest Treatment For Pain In Right Abdomen And Breast Bone

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Posted on Tue, 25 Aug 2015
Question: Hi ive been having been having pain in my right upper abdomen and my breast bone where my ribs are for months now. Had ultrasound, cck, and endocsopy done ana all came bavk normal. Hurts when sneezing and coughig and when taking deep breaths. I try to not eat large fatty meals as sometimes this makes the pain worse. Any idea on what couuld be going on?
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Answered by Dr. T Chandrakant (12 hours later)
Brief Answer:
Most probaly cost-chondritis.

Detailed Answer:
Hi.
Thanks for your query.

Read and understood that you have a pain for months now - reports normal - hurts on sneezing, coughing, on deep breaths and large fatty meals (sometimes only). - are as explained > right upper abdomen and breast bone where ribs are...

As per the most proper history you have given, this appears to be a condition called costo-chondritis.

I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis.
Although the exact cause of this condition is not known, the most probable cause can be flu or some systemic infection like enteritis, exertion, stress and anxiety.

I would suggest the following treatment.
-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.
-Anti-inflammatory medicines in full dose as per the weight.
-Steroids if required for its strong anti-inflammatory role.
-Diuretics to reduced the edema if present.
-Control of stress and anxiety helps a lot.
-Local rubrafacient liniments if the area is not covered by strapping.
-Confirmation of the diagnosis by local Doctor on palpation and clinical evaluation and to get prescription based medicines after discussing the above points. You may please discuss this with your Doctor frankly and in details.

This sort of a treatment helps all my patients. and should help you too.

I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19779 Questions

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Suggest Treatment For Pain In Right Abdomen And Breast Bone

Brief Answer: Most probaly cost-chondritis. Detailed Answer: Hi. Thanks for your query. Read and understood that you have a pain for months now - reports normal - hurts on sneezing, coughing, on deep breaths and large fatty meals (sometimes only). - are as explained > right upper abdomen and breast bone where ribs are... As per the most proper history you have given, this appears to be a condition called costo-chondritis. I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis. Although the exact cause of this condition is not known, the most probable cause can be flu or some systemic infection like enteritis, exertion, stress and anxiety. I would suggest the following treatment. -Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur. -Anti-inflammatory medicines in full dose as per the weight. -Steroids if required for its strong anti-inflammatory role. -Diuretics to reduced the edema if present. -Control of stress and anxiety helps a lot. -Local rubrafacient liniments if the area is not covered by strapping. -Confirmation of the diagnosis by local Doctor on palpation and clinical evaluation and to get prescription based medicines after discussing the above points. You may please discuss this with your Doctor frankly and in details. This sort of a treatment helps all my patients. and should help you too. I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication. http://bit.ly/askdrtchandrakant