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Suggest Treatment For Pain Under Left Bib Cage

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Posted on Tue, 5 May 2015
Question: I have been diagnosed with costochronditis and have been suffering from acute stinging pain on my left side, close to the 5th rib. I have taken 5 injections of sarapin, but so far have not received my relief. Should I consider taking a cortisone injection instead?
doctor
Answered by Dr. Suresh Heijebu (27 minutes later)
Brief Answer:
Cortisone can provide excellent pain relief.

Detailed Answer:
Hi Sir.

I understand your query and concern.

In case if costochondritis has not responded to 5 injections of sarapin,I recommend you to take steroidal injections.

Cortisone is known for excellent pain relief.

Post your further queries if any.
Thank you.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Suresh Heijebu (1 hour later)
A specialist in XXXXXXX who saw me in January recommends a combination of Xylocaine + 10mg Triamcinolone (steroid). Is this combination available in the US?
Also would you recommend this combination?
I ask this because the pain is near the sternum/5th rib, not far from the heart. How safe would a steroid injection be when it is administered so close to the heart? That was my concern.
doctor
Answered by Dr. Suresh Heijebu (15 hours later)
Brief Answer:
The risk of damage to heart is extremely low.

Detailed Answer:
Hi Sir.

I understand your concern.

Yes absolutely I recommend the combination of Xylocaine and Triamcinolone.

This combination is available in USA.

This injection can be safely given in near the sternum in the region of 5th rib,even if it is closer to heart.

The drug would be injected into the inflamed cartilage and the chances of drug seeping into the heart accidental injury to heart are extremely low. Since they are prescription drugs please see a doctor to get one and then let him administer it to you.

Post your further queries,if any.
Thank you.
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Suresh Heijebu (50 minutes later)
Thank you, The pain is located just under the skin in the muscle in the spot close to the sternum, halfway between nipple and sternum..
doctor
Answered by Dr. Suresh Heijebu (17 hours later)
Brief Answer:
Yes you can go for the steroidal injection.

Detailed Answer:
Hi Mam.

Yes It got the location of pain right.

You can safely go for the steroidal injection.

Thank you.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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Suggest Treatment For Pain Under Left Bib Cage

Brief Answer: Cortisone can provide excellent pain relief. Detailed Answer: Hi Sir. I understand your query and concern. In case if costochondritis has not responded to 5 injections of sarapin,I recommend you to take steroidal injections. Cortisone is known for excellent pain relief. Post your further queries if any. Thank you.