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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sharp Stabbing Pain In Ribs While Deep Breathing?

I have been experiencing sharp stabbing pains in my right side ribs, especially when I breath in deeply. I had my gall bladder removed a year ago and the pain is similar to that when I was recovering (difficult to take deep breaths). However I have noticed it has come back since I had a Mirena IUD put in three weeks ago. Is it possible Mirena could be causing this?
Sat, 18 Mar 2023
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Anesthesiologist 's  Response
Hello,

Sharp stabbing pain in chest may be due to the following conditions:
1) Pneumonia
2) Pneumothorax
3) Chest muscle strain or pull
4) Costochondritis or inflammation of cartilage that connects breast bone and ribs.
5) Pleurisy
6) Chest trauma
7) Anxiety attack
8) Pericarditis

Treatment depends upon the cause of pain. The following are recommended:
1) If the pain is due to muscle strain, NSAIDs like Ibuprofen or Naproxen are to be taken. If you have kidney disease, better avoid NSAIDs and use Opioids like hydrocodone, oxycodone and Tramadol.
2) They are to be taken twice daily for 3 days.
3) If the pain is due to pneumonia, pleurisy, antibiotics are given to eliminate the infection.
4) If due to costochondritis, steroids are the treatment

You may use pain relieving medication as mentioned above for 3 days and if the pain doesn't subside, you may need to consult a physician for further evaluation.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Causes Sharp Stabbing Pain In Ribs While Deep Breathing?

Hello, Sharp stabbing pain in chest may be due to the following conditions: 1) Pneumonia 2) Pneumothorax 3) Chest muscle strain or pull 4) Costochondritis or inflammation of cartilage that connects breast bone and ribs. 5) Pleurisy 6) Chest trauma 7) Anxiety attack 8) Pericarditis Treatment depends upon the cause of pain. The following are recommended: 1) If the pain is due to muscle strain, NSAIDs like Ibuprofen or Naproxen are to be taken. If you have kidney disease, better avoid NSAIDs and use Opioids like hydrocodone, oxycodone and Tramadol. 2) They are to be taken twice daily for 3 days. 3) If the pain is due to pneumonia, pleurisy, antibiotics are given to eliminate the infection. 4) If due to costochondritis, steroids are the treatment You may use pain relieving medication as mentioned above for 3 days and if the pain doesn t subside, you may need to consult a physician for further evaluation. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist