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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Is There Pain And Swelling In Abdomen?

Hi,
I am 26 years old female. Off late i have been experiencing severe pain in the left abdomen area. There is a slight swelling which feels like a lump right below the breast. I had absently hit myself a year back in the same spot to a table badly when some one pushed me from behind. The pain was on and off but now it seems be persistent and its getting difficult to carry on with daily activities. I recently consulted a doctor and she told me its the problem with my floating ribs and prescribed some pain killers. But it does not seem to help at all. Slight movements or traveling is causing discomfort. Can you please let me know what do i do? Is there a serious problem with my ribs?
Thanks
Deepa
Thu, 21 Aug 2014
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General Surgeon 's  Response
Hi Deepa.
Read the history. This is so much suggestive of a condition called costo-chondritis., although the reason here is known to be a trauma.
I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis.
I would suggest the following treatment.
-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.
-Anti-inflammatory medicines in full dose as per the weight.
-Steroids if required for its strong anti-inflammatory role.
-Lasix to reduced the edema.
This sort of a treatment helps all my patients. and should help you too.
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Why Is There Pain And Swelling In Abdomen?

Hi Deepa. Read the history. This is so much suggestive of a condition called costo-chondritis., although the reason here is known to be a trauma. I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis. I would suggest the following treatment. -Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur. -Anti-inflammatory medicines in full dose as per the weight. -Steroids if required for its strong anti-inflammatory role. -Lasix to reduced the edema. This sort of a treatment helps all my patients. and should help you too.