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What Causes Constant Sensation Under Left Lower Ribs?

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Posted on Mon, 24 Aug 2015
Question: i am having a constant sensation under my left lower ribs. at times if i press the left most rib bone, there is a tick noise at my upper rib cage and there is some kind of relief also.this happens almost 3 to 4 times in a day.have been using pantoprozole as remedy for gas but it is not solving my problem completely.can any one suggest a remedy ?
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Answered by Dr. Riyanka Chail (3 hours later)
Brief Answer:
Kindly find the details for further investigations below

Detailed Answer:
Hello Mr. XXXX,
Thank you for writing to HCM.
This is Dr.Riyanka Chail answering your query.

I have read your query in details.
Could you please tell me from when are you taking Pantoprazole ? Also are you taking it every morning atleast half an hour before breakfast.

You need to eat smaller meals around 6 times a day. donot stay empty stomach for more than 2 hours. Also take dinner atleast 2 hours before bed time. avoid oily foods. Take fruits and vegetables and bland food.

Continue with Tablet pantoprazole 40mg every morning atleast half an hour before breakfast for atleast 3 weeks.
Also you can take syrup digestive enzymes Aristozyme(available in india) 1 tsp after meal three times a day.

Kindly consult a gastroenterologist for a upper GI endoscopy if it has been more than 1 week since you have take pantoprazole and still symptoms are not coming down.

Since you are a young adult so we dont expect cardiovascular causes but still i would recommend an Ecg for reassurance.

Hope this answered your query.
Kindly write back for more doubts.

If your query has been answered please close the window and rate the answer.

Get well soon.

Regards,
Dr.Riyanka, MBBS, M.D

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Riyanka Chail

General & Family Physician

Practicing since :2009

Answered : 818 Questions

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What Causes Constant Sensation Under Left Lower Ribs?

Brief Answer: Kindly find the details for further investigations below Detailed Answer: Hello Mr. XXXX, Thank you for writing to HCM. This is Dr.Riyanka Chail answering your query. I have read your query in details. Could you please tell me from when are you taking Pantoprazole ? Also are you taking it every morning atleast half an hour before breakfast. You need to eat smaller meals around 6 times a day. donot stay empty stomach for more than 2 hours. Also take dinner atleast 2 hours before bed time. avoid oily foods. Take fruits and vegetables and bland food. Continue with Tablet pantoprazole 40mg every morning atleast half an hour before breakfast for atleast 3 weeks. Also you can take syrup digestive enzymes Aristozyme(available in india) 1 tsp after meal three times a day. Kindly consult a gastroenterologist for a upper GI endoscopy if it has been more than 1 week since you have take pantoprazole and still symptoms are not coming down. Since you are a young adult so we dont expect cardiovascular causes but still i would recommend an Ecg for reassurance. Hope this answered your query. Kindly write back for more doubts. If your query has been answered please close the window and rate the answer. Get well soon. Regards, Dr.Riyanka, MBBS, M.D