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    Suggest treatment for intermittent pop and pain in ribs

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Posted on Sat, 28 May 2016 in Abdominal Pain
Question: I have intermittent pop / click feeling under my left rib..no real pain but I can pop when I move a. certain way or breath out a certain way...
I have seen gastro specialist who said it may be a build up in colon .
xray clear
Ultrasound x 2 clear
blood tests ok.
pain today on left side....feels like dull stitch...
a little uncomfortable
doctor
Answered by Dr. Muhammad Sareer Khalil 1 hour later
Brief Answer:
Cardiac cause needs to be ruled out

Detailed Answer:
Hello and welcome

I appreciate your concern

Based on your description it appears to be most likely related to a gastrointestinal cause such as Gastroesophageal Reflux disease. A cardiac cause must be ruled out primarily via an ekg , ETT / stress test. If no cardiac cause is determined then a 2 week course of a PPI like esomeprazole and a prokinetic such as itopride can be advised to look for empirical improvement in consult with your doctor. If the symptoms persist then an upper gi endoscopy can be considered.

let me know if you have any query

Wishing you best of health

Thanks

please consult your doctor before taking any further course of action

Dr M.S Khalil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Sareer Khalil 29 minutes later
I have been to 7 doctors over h past 19 months and they all seem to think it is bowel or colon related.
I asked 3 gps to check my heaty and they listened and would not refer me for further testing 😥
doctor
Answered by Dr. Muhammad Sareer Khalil 11 hours later
Brief Answer:
Explained

Detailed Answer:
Hello again

I would agree with the gastrointestinal cause argument as its the common cause and can be treated empirically to see for results.

However, I disagree with the GPs decision to ignore a cardiac cause. EKG as a minimum investigation should be advised in the presence of the symptoms that you described.

Wishing you best of health

Thanks

please consult your doctor before taking any further course of action

Dr M.S Khalil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2919 Questions

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