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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pressure And Pain On My Upper Side Of Ribs

Upon taking a deep breath or cough i feel pain and pressure on my left side under my ribs in my back. Pain radiates to the front left rib side and also to my left hip. I also have minimal discomfort in my left side of my pelvis/ groin area. It really bothers me more when im in a standing position and i feel more tired and weaker than usual. I have been experiencing dizzy/ lightheaded spells and at times i feel very hot and a little sweaty. I am currently taking pepcid and omemprezal for gerd and im taking prednisone, hydroxychlor, and methotrexate to treat my lupus. I also took about 600 mg of ibuprofen for pain today.
Mon, 6 Jul 2015
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your situation and problem.
Since you are having Lupus, better to rule out cardiac diseases first for your left sided chest pain.
So get done ecg and 2d echo first.
If both are normal then no need to worry for heart diseases. Worsening of GERD (gastroesophageal reflux disease )can also cause similar symptoms. You are taking oral steroid (prednisone) and methotrexate. Both of them are known to cause severe acidity and GERD.
So you need to avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Drink plenty of fluids orally. Along with pepcid and omeprazole, start prokinetic drug too. Avoid smoking and alcohol if you have these habits.
Don't worry, you will be alright. First rule out cardiac cause.
Hope I have solved your query. Wish you good health. Thanks.
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What Causes Pressure And Pain On My Upper Side Of Ribs

Thanks for your question on Health Care Magic. I can understand your situation and problem. Since you are having Lupus, better to rule out cardiac diseases first for your left sided chest pain. So get done ecg and 2d echo first. If both are normal then no need to worry for heart diseases. Worsening of GERD (gastroesophageal reflux disease )can also cause similar symptoms. You are taking oral steroid (prednisone) and methotrexate. Both of them are known to cause severe acidity and GERD. So you need to avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Drink plenty of fluids orally. Along with pepcid and omeprazole, start prokinetic drug too. Avoid smoking and alcohol if you have these habits. Don t worry, you will be alright. First rule out cardiac cause. Hope I have solved your query. Wish you good health. Thanks.