Dear concerned.,
Thanks for writing to us,
The only positive history given by you is that you have been an asthmatic.
You have not indicated about your glycemic status/
thyroid status/ any history of passing dark or high coloured urine/loss of appetite/nausea/
jaundice .These would have indicated co morbid conditions as the pain under ribcage is only a symptom.
Now we can think of probabalities ,we call them differential diagnosis.
(a)Fibromyalgia;-The exact reason for the disorder is unknown.But is associated with
anxiety and depressive illness with heightened response to pressure on a particular area.
The treatment includes analgesics/excercise/behavioral interventions/Health education.
In addition pls undertake baseline blood/urinalysis/Chest X-ray PA and lateral views to rule out any associated conditions.
(b)Are you a right hander with heavy mechanical /physically stressful occupation, in that condition of RSI -or repetetive
stress injury, the rest to the part/Physiotherapy/analgesics will be useful.If no therapy works out consider a change in your job/occupation.
In addition you are also advised to keep your Asthma under regular control with bronchodilators-inhalers/pulmonary function tests and regular follow up with Pulmonologist.
Wishing you a very speedy recovery.,
With Best Regards.,
Dr Lt Cdr ASN Bhushan.,
Ex-Navy