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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain Under Breast, Back. Diagnosed As Ulcer. What Do You Think?

I went to the hospital two weeks ago with pain under my right breast . very aggravating pain. the only way to relieve it was to lay down. Now the pain has shifted to the left and it wraps around my left side to the back. hurts so bad, i can t lay down, sit up or anything. They ran tests in hospital and said I have an ulcer . it s really bad. what do you think?
Fri, 30 Aug 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

To diagnose peptic ulcer, gastroscopy is necessary. Moreover, symptoms described by you are not characteristic for peptic ulcer. More probable are gallstones or rib nerves pain.
Gallstones usually give upper right abdominal pain which radiates to the back. Symptoms are triggered by fatty food or alcohol. Nausea is very often present.
Rib nerve pain gives sharp needle-like pain. It aggravates when moving the chest (breathing) and can be unnoticeable when not breathing.

If gallstones seems most probable, ultrasound should be done. If rib nerve pain seems more possible, you should try Diclophenac 50 mg twice a day (should be taken with Omeprasole 20 mg once a day to protect your stomach)

Hope this will help.
Regards.
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Pain Under Breast, Back. Diagnosed As Ulcer. What Do You Think?

Hello! Thank you for the query. To diagnose peptic ulcer, gastroscopy is necessary. Moreover, symptoms described by you are not characteristic for peptic ulcer. More probable are gallstones or rib nerves pain. Gallstones usually give upper right abdominal pain which radiates to the back. Symptoms are triggered by fatty food or alcohol. Nausea is very often present. Rib nerve pain gives sharp needle-like pain. It aggravates when moving the chest (breathing) and can be unnoticeable when not breathing. If gallstones seems most probable, ultrasound should be done. If rib nerve pain seems more possible, you should try Diclophenac 50 mg twice a day (should be taken with Omeprasole 20 mg once a day to protect your stomach) Hope this will help. Regards.