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What Causes Sharp Pain Under The Ribs?

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Posted on Tue, 28 Jun 2016
Question:  I have been having a sharp pain under my right size ribs for about a week now.  Between the hip and ribs on the right side. It sharp and only last about a second or 2. Comes very quick and goes away.  Worst at the end of the day. In the morning comes a few times but by the end of the day it is a few times an hour.  I get it more when sitting. I get it less when I stand.  Sometimes the pain also hits by back in the same area as the pain on the side. Not sure if this is an organ pain or muscle. I have no other symptoms. I feel fine. No gas. The only medication I take is  prilosec. Been taking it for the last 2 years for acid.


I just had a physical 2 weeks ago. Blood test was all normal except the liver test the ALT was 64.  AST was normal. He said it is fatty liver. I am 34, 6ft and 245lbs. I do drink alcohol once or twice a week.  2-4 beers each time. He wants to see me back in 4 weeks to recheck the liver.  

Any idea what this pain could be, does it sound serious? 
doctor
Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
Sharp pains under right rib / Under Evaluation

Detailed Answer:
Brief Ans-Sharp pains under right rib / Under Evaluation

Hi Dear!! Thanks for your query to HCM.
Read and reviewed your query facts in context to your health concerns of recurring pain under right rib.

My Impression and Comments-
In view of the physical done 2 weeks ago,Overweight is your prime hidden health issue,which seems to be neglected.
Current issue of sharp pains under right ribs for a week,is without any gas,but sometimes hit back also.
In this context-You need to investigate for-Gall stones and for the ?IBS with it? as both could present with similar pain under right rib.

To find out the exact cause of this pain and seriousness of this pain as asked by you-I would need more details as asked below.

Update more information-as follows-
Do you pass normal stools? Is this pain related to eating time and any particular food ?
What is your day's diet schedule?
Update the frequency of street fast food ?
Did you have street food / or party food -lately, before this pain started?
What is your work style-sedentary? or travelling job?
Update stool test done lately?
Update any reports of the radiological/lab/stool- tests done ?

Await your details soon, so as to help you out on these pains under right
rib.

I am awaiting to get more details from on the given lead queries,to help you more.

If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Mukund Savaskar (4 hours later)
I pass stool normal. The pain does not seem related to any food that I eat. My days diet has not change. 3 bug meals and snacks once or twice. No street food. I am a teacher and stand and sit at times. Most stand for 2-3 hours over an 8 hour day. At my physical doc did put his hand up my ass and found no blood. He did a urine test and was clear.
doctor
Answered by Dr. Mukund Savaskar (16 hours later)
Brief Answer:
Sharp pains under right rib / Under Evaluation
To be precise it is due to- Ano-rectal spasm from old silent piles with IBS with alcoholic hepatitis.

Detailed Answer:
Sharp pains under right rib / Under Evaluation

Hi Dear XXXXXXX !! Thanks for your updates.
Dear I read and reviewed your updates in context to your health concerns.

My Review Comments-
Based on the facts submitted in your query and its review with the updated facts,I am Convinced that the sedentary lifestyle with weekly treats of fastfood and gush of 3-4 beers,is the main cause of the Sharp abdominal pains under the right ribs.3 big meals with 2 snacks is causing lot of metabolic loads leading to overweight problem,which you seem to be neglecting besides many indications and alerts from your body, in last 2 yrs.
Your love for 3-4 beers is understood and can not be denied also,while reviewing your history of medical problems herewith.But with Fatty liver scan report with high AST, you should take the right abdominal pains-seriously and should avoid these repeated weekly insults with- fast food and loads of beer.

Cause of the abdominal Sharp Pains under the ribs-
Though your P/R(per anal)examination by your doctor- seems to be normal in physical checks done 2 weeks back,it is very much clear from your medical history in last 2 yrs that- these sharp abdominal pains are mainly due to accompanied piles since late childhood.
This piles is the main cause of the typical sharp pains and the pain frequency observed by you( -low in the morning and high in the evening)-with pain reducing in standing and increasing on sitting -is all due to the increasing bloating-caused from the food loads over a days time.

My Opinion on root cause of the abdominal sharp pains-
With chronic piles and heavy food loads accompanied with the weekly insults from street food with 3-4 beers,this is causing ano-rectal spasm from spicy fried food.This involuntary- reflexly tight anus causes Gas related-back pressure from the hold up gas ingested and gas produced from colonic fermentation.With food loads with 3 big meals and 2 snacks over a day,the ingested gas adds to the gas from the fermented food in the inflamed Colon as the day passes by.
This abdominal and colonic bloating from the gas,causes discomfort on sitting-due to reduced abdominal space for the distended bowel from the food loaded bowel.
This also explains the reduction of the pains on standing,as submitted in your query.This also explains the rise in frequency as the day passes by.
This pain hits back sometimes when the gas pressure in the bowel presses against the inflamed alcoholic liver lately,which causes pain in the back.

The fatty liver report on USG and raised AST levels- indicate and alert you to abstain from this life style soon on priority and URGENCY,to prevent serious health issues in time to come.

Thus reply to your question is-that these abdominal sharp pains are serious alarm and need to be attended seriously by You.

The reason of this comprehensive reply in all the details,is only to educate you and to alert you to correct your life style and overweight,which has messed up your health to serious extent.

Dear, Hope this comprehensive and detailed reply would help you to resolve your health issues with help of your doctors there.

Welcome for any further query in this regard.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, if satisfied, Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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What Causes Sharp Pain Under The Ribs?

Brief Answer: Sharp pains under right rib / Under Evaluation Detailed Answer: Brief Ans-Sharp pains under right rib / Under Evaluation Hi Dear!! Thanks for your query to HCM. Read and reviewed your query facts in context to your health concerns of recurring pain under right rib. My Impression and Comments- In view of the physical done 2 weeks ago,Overweight is your prime hidden health issue,which seems to be neglected. Current issue of sharp pains under right ribs for a week,is without any gas,but sometimes hit back also. In this context-You need to investigate for-Gall stones and for the ?IBS with it? as both could present with similar pain under right rib. To find out the exact cause of this pain and seriousness of this pain as asked by you-I would need more details as asked below. Update more information-as follows- Do you pass normal stools? Is this pain related to eating time and any particular food ? What is your day's diet schedule? Update the frequency of street fast food ? Did you have street food / or party food -lately, before this pain started? What is your work style-sedentary? or travelling job? Update stool test done lately? Update any reports of the radiological/lab/stool- tests done ? Await your details soon, so as to help you out on these pains under right rib. I am awaiting to get more details from on the given lead queries,to help you more. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS