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Can Ibuprofen Help Cure Costochondritis?

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Posted on Thu, 7 Jan 2016
Question: I saw my doctor two weeks ago and he prescribed me 800 milligram ibuprofen. He stated that I have costriatis. I still feel no relieve since taking the meds these two weeks. I'm going to touch basis with his nurse tommarrow. She informed me to.let them know if I was still feeling bad. Any suggestions on treatment?
doctor
Answered by Dr. Michelle Gibson James (41 minutes later)
Brief Answer:
different pain killer, heat pad, injections

Detailed Answer:
HI, thanks for using healthcare magic

Some persons may have a severe costochondritis that does not respond well to typical medication.

In some cases it can last for weeks to months.

If the ibuprofen is not working for you , you can try other over the counter NSAIDS such as as naproxen or ketoprofen.
If these are not strong enough , you may need a prescription for stronger meds such as celebrex

In addition to the pain medication, applying a heat pad/compress to the area may also help. This can be done 2 to 3 times daily for 10 to 15 minutes.

If the other pain meds and heat pad do not work then you may need to consider injections to the area.
A doctor can inject local anesthetic or steroids to help relieve the pain and inflammation.

Summary: (1) may need change in pain killer
(2)heat pad
(3)if no relief then injection with local anesthetic or steroid

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (8 minutes later)
I'm currently doing the heating pad also. Mostly at night. Had a cortisone shot two weeks ago. Will consult doctor tommarrow.
doctor
Answered by Dr. Michelle Gibson James (18 minutes later)
Brief Answer:
may need to start stronger pain medication

Detailed Answer:
HI

Ok,no problem
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (10 minutes later)
He got me taking 800 milligram ibuprofen but like i say i feel the same and this been two weeks . Would it be ok to take the Naprosxn or katoprofen. Our should I consult my physician first.
doctor
Answered by Dr. Michelle Gibson James (3 minutes later)
Brief Answer:
yes, one of these can be used

Detailed Answer:
HI

yes , you can take one of these. They should be used on their own eg either naproxen or ketoprofen

If anything else unclear , let me know

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (17 minutes later)
Ok. I will. Will let you know the outcome
doctor
Answered by Dr. Michelle Gibson James (3 minutes later)
Brief Answer:
ok

Detailed Answer:
no problem
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (31 hours later)
I threw up my medicine. The ibuprofen is making me sick at the stomach. I threw up some clear liquid but it taste like medicine it was bitter tasting. I ate before I took it as always but I have been taking them for the last two weeks. Should I consult my physician today about changing meds.
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
can consider a switch or add medication to reduce acid taste

Detailed Answer:
HI

Yes, you can consider changing the medication but it is possible unless changed to a newer med, like celebrex or arcoxia, that you might have the same problem.

Ibuprofen, naproxen, ketoprofen can irritate the stomach and cause gastritis or reflux with a bitter or acid taste.

Your options would be to use one of these along with a medication such as pepcid, zantac, prilosec, prevacid, nexium- to help reduce the irritation to the stomach OR to use a medication such as celebrex or arcoxia which are suppose to cause less stomach irritation.

Hope helps, if not can let me know
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (9 minutes later)
Going to call nurse when office open. Should I be carful about what I wat. Right now my stomach feel like a knot in it.Should I be careful about what I eat
doctor
Answered by Dr. Michelle Gibson James (5 minutes later)
Brief Answer:
avoid spicy/acidic/fried/fatty foods

Detailed Answer:
HI

Yes, avoid any spicy/acidic or citrus/ fried/fatty foods.

This includes reducing caffeine products, tomatoes, mint, onions for a short time till you feel like yourself


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (2 minutes later)
I'm a big coffee drinker. Should I drink decaffeinated. And I have been drinking peppermint tea should o stay away from that
doctor
Answered by Dr. Michelle Gibson James (9 minutes later)
Brief Answer:
yes, stop for now

Detailed Answer:
HI

Yes, for now hold off the coffee and use decaff.

Also reduce the peppermint for now as well.

It is possible that if you use the reflux meds or the pain medication is changed that you can start back if the symptoms resolve
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (3 minutes later)
Is the meds you mentioned have to be prescribed by my physician. The celebrex. I know the acid reflux meds can be bought in store.
doctor
Answered by Dr. Michelle Gibson James (15 minutes later)
Brief Answer:
yes, celebrex is prescription

Detailed Answer:

HI

The celebrex is prescription.

If this is a problem can use another pain killer and add the reflux medication to it to see if this works (along with diet changes mentioned)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (3 minutes later)
Ok. Going to call doctor office. Will let you know. Thanks for the advice. I will have a n idea.
doctor
Answered by Dr. Michelle Gibson James (31 minutes later)
Brief Answer:
ok

Detailed Answer:
Hi

Ok, no problem, can let me know how it goes
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Can Ibuprofen Help Cure Costochondritis?

Brief Answer: different pain killer, heat pad, injections Detailed Answer: HI, thanks for using healthcare magic Some persons may have a severe costochondritis that does not respond well to typical medication. In some cases it can last for weeks to months. If the ibuprofen is not working for you , you can try other over the counter NSAIDS such as as naproxen or ketoprofen. If these are not strong enough , you may need a prescription for stronger meds such as celebrex In addition to the pain medication, applying a heat pad/compress to the area may also help. This can be done 2 to 3 times daily for 10 to 15 minutes. If the other pain meds and heat pad do not work then you may need to consider injections to the area. A doctor can inject local anesthetic or steroids to help relieve the pain and inflammation. Summary: (1) may need change in pain killer (2)heat pad (3)if no relief then injection with local anesthetic or steroid I hope this helps, feel free to ask any other questions