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Suggest Treatment For Pain Under Right Rib Cage

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Posted on Mon, 23 Nov 2015
Question: Pain right below ribs front right.
Note: kidney function shut down Thursday, EMT and 24 watch in hosital.
doctor
Answered by Dr. Drkaushal85 (55 minutes later)
Brief Answer:
Get done chest x ray first.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your situation and problem.
You are suffering from many diseases.
So better to get done chest x ray first.
Right lower ribs pain can be due to
1. Musculoskeletal cause.
2. Lower lobe pneumonia
3. Pleural effusion
4. Pulmonary infarction.
So better to get done chest x ray first. If chest x ray is normal then musculoskeletal pain is more likely.
Please let me know
1. Chest x ray is done or not?
2. Do you have breathlessness?
3. Do you have fever, cough, expectoration?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (50 minutes later)
Pardon, it was not clear that 24 meant kept in outpatient wing of hospital for 24 hours after I was purged of any meds that might affect the extremely low blood pressure. It was around 55/30 when I arrived at the emergency room from seeing my primary doctor's intern. Likely suspect they think was dehydration so not enough pressure to infuse blood into kidneys. Man was I cold. I could tell from what the staff was saying that I must not have been making sense. But I clearly heard that they were trying to keep me from crashing.

This has happened 4 earlier times within the last 6 months (dates not recorded) but each time my blood pressure was almost as bad. Those times I crawled in bed and it resolved on its own in around 8 hours. This is the only time I have ever had LBP. I have been on meds for HBP since my early 20's.

I feel like I am living on the razor's edge. Any health issue can affect any other health issue.

The pain I asked you about may have been a precusor of above. Or not. It is just below the rib cage on my right side. Sometimes it goes all the way to the left side. Its been more of a pressure than pain until recently. Enough to keep me from sleep. Any idea? A chest Xray was taken when I was in hospital.

I am getting intense pain in my lower back right now too. The above allowed my system to get behind the pain not in front of it. I just took an Oxycodone and Naproxin and it is lessoning.

Personally I have been able to be in a low stress living environment and maybe I am on too many meds for the cardiac system.

Your thoughts? What do you think I should do next?

I also would like to discuss my DDD in my neck with an appropriate medical person to see if I do not have the surgery am I causing irreparable damage. I have a recent MRI.
doctor
Answered by Dr. Drkaushal85 (2 hours later)
Brief Answer:
What was the result of chest x ray?

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Hypotension is commonly seen in cardiac diseases, uncontrolled severe infection, dehydration, corticosteroid deficiency etc.
So better to get done ecg, 2d echo to rule out heart diseases.
Get done complete blood count and blood culture for infection.
Get done serum cortisol level to rule out steroid deficiency.
You said that you had chest x ray. So please let me the result of chest x ray.
Your pain is decreased by Naprosyn and oxymoron. So possibility of musculoskeletal pain is more. Application of warm water pad on affected areas is also helpful.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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Suggest Treatment For Pain Under Right Rib Cage

Brief Answer: Get done chest x ray first. Detailed Answer: Thanks for your question on Health Care Magic. I can understand your situation and problem. You are suffering from many diseases. So better to get done chest x ray first. Right lower ribs pain can be due to 1. Musculoskeletal cause. 2. Lower lobe pneumonia 3. Pleural effusion 4. Pulmonary infarction. So better to get done chest x ray first. If chest x ray is normal then musculoskeletal pain is more likely. Please let me know 1. Chest x ray is done or not? 2. Do you have breathlessness? 3. Do you have fever, cough, expectoration? Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.