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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain And Numbness In The Lower Rib Cage?

Over two weeks ago, I felt pain in the lower rib cage of my back. It almost feels like the pain spasms at times and is more painful on the left side. Advil helps numb the pain, but something is wrong. I will go to a clinic when I m off this Saturday, but it really isn t getting any better.
Mon, 5 Nov 2018
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General Surgeon 's  Response
Hello,

There can be 2 probabilities in your case:
1. Acid peptic disease.
2. Gallbladder pathology.

The acid peptic disease may only sometimes present with pain abdomen. Other symptoms like nausea, bloating, post food fullness, vomiting may or may be not there. It requires upper gastrointestinal endoscopy for confirmation. It is not normally picked up by X-ray, CT scan or MRI.

Gallbladder pathology is less likely, as it would have been picked up by CT scan. I normally do an ultrasound scan on empty stomach to know the gallbladder it's full in fasting state and followed by repeat scan after having a fatty meal- normally the gallbladder should have contracted after food. Lack of contractility would warrant further workup.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein,
General Surgeon
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What Causes Severe Pain And Numbness In The Lower Rib Cage?

Hello, There can be 2 probabilities in your case: 1. Acid peptic disease. 2. Gallbladder pathology. The acid peptic disease may only sometimes present with pain abdomen. Other symptoms like nausea, bloating, post food fullness, vomiting may or may be not there. It requires upper gastrointestinal endoscopy for confirmation. It is not normally picked up by X-ray, CT scan or MRI. Gallbladder pathology is less likely, as it would have been picked up by CT scan. I normally do an ultrasound scan on empty stomach to know the gallbladder it s full in fasting state and followed by repeat scan after having a fatty meal- normally the gallbladder should have contracted after food. Lack of contractility would warrant further workup. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon