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Painful ribs, breathing issues. Unable to sleep. Why?

Hi my name is Darcy I'm a 52 year old male. None smoker for 1 year, don't drink or do drugs. Today while golfing I started to get mild pain on the right side under my ribs. It started getting worse about an hour later to the point it was hard to breath. When I got home I decided to lay down and that when its got really bad!! Best position is sitting up. It's been about 4 hours now and it's gotten a bit better but when I lay down the pain comes back. (HELP PLEASE)
Asked On : Sat, 6 Apr 2013
Answers:  2 Views:  38
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Allergist and Immunologist 's  Response

You need an urgent Chest X Ray to ensure you do not have air in the space lining the lungs, called pneumothorax. An ECG to ensure there is no cardiac cause.
Sitting up may help, but is not the treatment.

If the Chest X Ray and ECG are normal, then you can try anti-reflux medication such as omeprazole or rabeprazole and paracetamol 650mg to ease the pain.
If you still have the pain and think you are sweating, call 911 or the emergency number straight away.

Best Wishes.
Answered: Sat, 6 Apr 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

You should be seen by your doctor.

There could be several reasons - Irritation of the pleura (inside the chest and apposed to the ribs) by inflammation / irritation of the nerve - ( from the spine it runs along the lower border of upper rib to the upper border of lower rib) / muscles (intercostal, and other chest wall muscles) / Heart ...

Only an examination and basic investigations can give a clue...

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Sat, 6 Apr 2013
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