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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pains On Upper Left Side Below The Middle Of Rib Cage. Specific Causes ?

well i have had pains on my upper left side below the middle of my rib cage it has been going on for a while now and sometimes it will move from there to my stomach . i have lost my apatite for things but when i get it back i eat like i haven t eaten in days. I am a skinny guy 22 years old 125lb last time i went to the doc was for this about a week ago and now have an appointment with a stomach DR but is there anything i can do to ease the pain for the 4 weeks that it will be b4 i see him
Wed, 16 Oct 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.

If I were your treating for this case of pain in the left rib cage , I would come up with these possibilities , these includes.
1 The first possibility is of peptic ulcer disease or Hiatus hernia. Diagnosis can be confirmed by upper G I endoscopy .
Try raising the head of your bed 4 inches above with blocks.It might also help to avoid drinking or eating 2 hours before you lie down.
To help control the stomach acid , one should not drink alcohol or drinks with caffeine in them or eat chocolates or spicy food or greasy good. Also take some antacid but if, symptoms are severe you may need drugs like proton pump inhibitors.
2 As you mentioned that you lost appetite so this may be due to some disease in liver , diagnosis can be confirmed by ultrasound of liver . Also get in blood for liver function test as jaundice is the main cause of fatigue and loss of appetite.
3 tension is the one cause , which may be responsible your problem , so if you think so , avoid the same.
In my opinion antacid with oxetacaine in them will help you till your doctor's consultation.
Good luck, Dr. HET
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Pains On Upper Left Side Below The Middle Of Rib Cage. Specific Causes ?

Hello, Thanks for the query to H.C.M. Forum. If I were your treating for this case of pain in the left rib cage , I would come up with these possibilities , these includes. 1 The first possibility is of peptic ulcer disease or Hiatus hernia. Diagnosis can be confirmed by upper G I endoscopy . Try raising the head of your bed 4 inches above with blocks.It might also help to avoid drinking or eating 2 hours before you lie down. To help control the stomach acid , one should not drink alcohol or drinks with caffeine in them or eat chocolates or spicy food or greasy good. Also take some antacid but if, symptoms are severe you may need drugs like proton pump inhibitors. 2 As you mentioned that you lost appetite so this may be due to some disease in liver , diagnosis can be confirmed by ultrasound of liver . Also get in blood for liver function test as jaundice is the main cause of fatigue and loss of appetite. 3 tension is the one cause , which may be responsible your problem , so if you think so , avoid the same. In my opinion antacid with oxetacaine in them will help you till your doctor s consultation. Good luck, Dr. HET