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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stabbing Pain In Lower Ribs. Not Stomach Issues. Having Cancer, Wilderbrandes Disease, Anemia. What Could It Be?

Hi, For several years now on and off I have been having severe stabbing pain in my lower left rib cage, when i put pressure on i it helps a little but it has to just go away by itself, It happens alot lately and I have no back pain along with it , Iam sure its not gas or stomach issues, when iam driving it happens quite a bit or just sitting at home on the couch, I am a cancer patient and also have a blood disorder called von wilderbrandes disease, along with this iam iron insuffent and also anemic.What can this poss be ?
Fri, 15 Feb 2013
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General & Family Physician,  's  Response
Hello Brandenburg,

From the look of things you seem to be suffering from a coronary artery diseases (heart condition) known as unstable angina with all the risk factors you present ( of blood disorders and cancer). Another possibility is cardiac or lung metastasis from your cancer (depending on which organ was affected). I recommend that you do a chest x-ray, MRI, CT scan and to consult a cardiologist or an internist. Pain can only properly be managed if the cause is known as it might require palliative care.
If the cause for the pain is simply unstable angina then appropriate medication (s) will be prescribed by your cardiologist.

Hope this helps and wish you a better health
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General & Family Physician,  Dr. Ramesh M.Vachharajani's  Response
Hi,
Welcome to HCM,
As you have cancer as you have mentioned, there is possibility of secondary in your ribs giving rise to this problem.
If there is no secondary then you might be having costo chondritis.
Consult your treating doctor and discuss about your problem.
Ok and bye.
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Stabbing Pain In Lower Ribs. Not Stomach Issues. Having Cancer, Wilderbrandes Disease, Anemia. What Could It Be?

Hello Brandenburg, From the look of things you seem to be suffering from a coronary artery diseases (heart condition) known as unstable angina with all the risk factors you present ( of blood disorders and cancer). Another possibility is cardiac or lung metastasis from your cancer (depending on which organ was affected). I recommend that you do a chest x-ray, MRI, CT scan and to consult a cardiologist or an internist. Pain can only properly be managed if the cause is known as it might require palliative care. If the cause for the pain is simply unstable angina then appropriate medication (s) will be prescribed by your cardiologist. Hope this helps and wish you a better health