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Suggest Treatment For Pain Under The Left Rib Cage
Question: Hello I have been having rib pain on left side of body near breast the pain is a 3 or 4 hurts with movement abs certain positions I have had a monogram done last year all normal except for fybroids and benign cysts . I am not over weight I have had the following tests done
Monogram July 2016
Bloods pressure normal recent
Chest X-ray -waiting on results
ECG normal non spacific st wave may 2016
Echo normal may 2016 normal
Loop normal may 2016 normal
Stress echo - dec 2016 normal
Blood work normal may 2016
I am not over weight
Work out 4x a week low impact
Suffer from the following
Migraine
Costochondritis
Fibromyalgia
Tmj
Chronic neck pain
I don't remember doing anything that may have caused this but I did have a very active Saturday bending and picking things up
Any suggestions
Monogram July 2016
Bloods pressure normal recent
Chest X-ray -waiting on results
ECG normal non spacific st wave may 2016
Echo normal may 2016 normal
Loop normal may 2016 normal
Stress echo - dec 2016 normal
Blood work normal may 2016
I am not over weight
Work out 4x a week low impact
Suffer from the following
Migraine
Costochondritis
Fibromyalgia
Tmj
Chronic neck pain
I don't remember doing anything that may have caused this but I did have a very active Saturday bending and picking things up
Any suggestions
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I am glad to hear from you again!
Regarding your concern, I would explain that your symptoms seem to be related to chostochondritis exacerbation or to a stretched muscle.
The fact that your symptoms are modulated by body movement is typical of musculo-skeletal disorder or inflammation.
As a cardiologist, I would like to reassure you that your symptoms are not related to any cardiac disorder. So, relax and don't worry about it!
Besides, all your performed cardiac tests have shown a normal heart function and structure and have excluded coronary artery disease.
Coming to this point, I would recommend taking ibuprofen three times daily for some days. It will help against the pain. Massage of the area can be helpful, especially considering stretched muscle (it wouldn't help in chostochondritis exacerbation).
Anyway, I am sure that you will improve soon spontaneously. There is no need to perform any additional tests.
I would just recommend avoiding straining physical activity in the next day. Light physical activity can be helpful.
Hope you will find this answer helpful!
I remain at your disposal, whenever you have any other questions!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I am glad to hear from you again!
Regarding your concern, I would explain that your symptoms seem to be related to chostochondritis exacerbation or to a stretched muscle.
The fact that your symptoms are modulated by body movement is typical of musculo-skeletal disorder or inflammation.
As a cardiologist, I would like to reassure you that your symptoms are not related to any cardiac disorder. So, relax and don't worry about it!
Besides, all your performed cardiac tests have shown a normal heart function and structure and have excluded coronary artery disease.
Coming to this point, I would recommend taking ibuprofen three times daily for some days. It will help against the pain. Massage of the area can be helpful, especially considering stretched muscle (it wouldn't help in chostochondritis exacerbation).
Anyway, I am sure that you will improve soon spontaneously. There is no need to perform any additional tests.
I would just recommend avoiding straining physical activity in the next day. Light physical activity can be helpful.
Hope you will find this answer helpful!
I remain at your disposal, whenever you have any other questions!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello
Thank you for your response I do find that it hurts sometimes if I take s deep breath I am not short of breath or anything...I currently have a hot water bottle on it ... I just wanted to make sure it wasn't cardiac related .
I don't take Advil but I have taken an extra strength tylnol ...
Thank you for your response I do find that it hurts sometimes if I take s deep breath I am not short of breath or anything...I currently have a hot water bottle on it ... I just wanted to make sure it wasn't cardiac related .
I don't take Advil but I have taken an extra strength tylnol ...
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
The fact that that deep breathing triggers the pain is another argument in favor of musculo- skeletal pain.
So, you have nothing to worry about!
Extra strength Tylenol will help ( it is similar to ibuprofen).
Hope to have been helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing all the best,
Dr.Iliri
My answer as follows:
Detailed Answer:
Hello again!
The fact that that deep breathing triggers the pain is another argument in favor of musculo- skeletal pain.
So, you have nothing to worry about!
Extra strength Tylenol will help ( it is similar to ibuprofen).
Hope to have been helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing all the best,
Dr.Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello I wanted to update u I went to a triage and they did an X-ray all is normal it was diagnoses as costochondritis the only thing is that my blood pressure was high 155/94 usually I have low to normal when I see my own dr 110/120 over 70/80. He said it was white coat syndrome and not to worry since my blood pressure is usually normal is this possible which then set off my anxiety
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
Regarding the high blood pressure, I would explain that a single high blood pressure value does not indicate uncontrolled arterial hypertension.
It may be a normal reaction of the body related to physical or emotional stress, pain or "White coat syndrome", which is explained by the fear or anxiety when consulting with the doctor.
Anyway, these spikes of blood pressure are quite normal in healthy individuals and do not need any treatment as they do not cause any harm to your body.
So, there is nothing to worry about!
I would just recommend you to closely monitor your blood pressure in the next days. If your blood pressure values are within the normal ranges most of the time, there is no need to perform any additional tests or take any medication.
Hope you will find this answer helpful!
Let me know about everything!
Regards,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
Regarding the high blood pressure, I would explain that a single high blood pressure value does not indicate uncontrolled arterial hypertension.
It may be a normal reaction of the body related to physical or emotional stress, pain or "White coat syndrome", which is explained by the fear or anxiety when consulting with the doctor.
Anyway, these spikes of blood pressure are quite normal in healthy individuals and do not need any treatment as they do not cause any harm to your body.
So, there is nothing to worry about!
I would just recommend you to closely monitor your blood pressure in the next days. If your blood pressure values are within the normal ranges most of the time, there is no need to perform any additional tests or take any medication.
Hope you will find this answer helpful!
Let me know about everything!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi thank u I have to c my go tomorrow I will have her check my blood pressure as well in the mean time how can I check it as when I check it myself it is always higher because I am thinking about it anxious I guess when is the best x to check it
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
I would recommend checking your blood pressure frequently during the day, in sitting position (after 10 minutes of total relax). You can stay some minutes with your eyes closed and take some deep breaths, before measuring your blood pressure.
If you do this procedure frequently during the day, you will not be anxious any more when monitoring blood pressure, because you will be accustomed at the procedure.
You should do this for an entire week, in order to be able to come into the right conclusions on your blood pressure values. It is important write all these blood pressure values in a notebook, writing also the time of measurement.
Hope you will find this answer helpful!
Wishing good health,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
I would recommend checking your blood pressure frequently during the day, in sitting position (after 10 minutes of total relax). You can stay some minutes with your eyes closed and take some deep breaths, before measuring your blood pressure.
If you do this procedure frequently during the day, you will not be anxious any more when monitoring blood pressure, because you will be accustomed at the procedure.
You should do this for an entire week, in order to be able to come into the right conclusions on your blood pressure values. It is important write all these blood pressure values in a notebook, writing also the time of measurement.
Hope you will find this answer helpful!
Wishing good health,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank u am I in immediate danger or an iwait to c my gp tomorrow all ur help is very appreciated
Thank u u have been great assistance and have made me a little more secure I will keep u posted is there a personal link u have
Thank u u have been great assistance and have made me a little more secure I will keep u posted is there a personal link u have
Brief Answer:
There is no need to go to the ER!
Detailed Answer:
Hello again!
There is no need to go to the ER!
Your symptoms are not indicative of any serious medical condition.
So, it can wait until consulting with your GP.
I would recommend wait even a week, before consulting with your GP, so you can have enough time to closely monitor your blood pressure values and come into the right conclusions about your blood pressure trends during the day.
Wearing a blood pressure Holter monitoring could also be an option to help you monitor your blood pressure values for a prolonged time and avoid the anxiety of measuring your blood pressure values.
But, there is no urgency for such tests.
So, just relax and take some deep breaths!
Everything is going to be OK!
Regards,
Dr. Iliri
Brief Answer:
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
You can ask me directly at any time on my personal link attached below:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765
I would be happy to review all your performed tests for another second professional opinion and also to answer to all of your questions at any time!
So, feel free to ask me again, whenever you need!
Wishing good health,
Dr. Iliri
There is no need to go to the ER!
Detailed Answer:
Hello again!
There is no need to go to the ER!
Your symptoms are not indicative of any serious medical condition.
So, it can wait until consulting with your GP.
I would recommend wait even a week, before consulting with your GP, so you can have enough time to closely monitor your blood pressure values and come into the right conclusions about your blood pressure trends during the day.
Wearing a blood pressure Holter monitoring could also be an option to help you monitor your blood pressure values for a prolonged time and avoid the anxiety of measuring your blood pressure values.
But, there is no urgency for such tests.
So, just relax and take some deep breaths!
Everything is going to be OK!
Regards,
Dr. Iliri
Brief Answer:
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
You can ask me directly at any time on my personal link attached below:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765
I would be happy to review all your performed tests for another second professional opinion and also to answer to all of your questions at any time!
So, feel free to ask me again, whenever you need!
Wishing good health,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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