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Suggest treatment for severe pain in the ribs

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Posted on Fri, 7 Apr 2017
Question: Severe pain on my left side underneath my ribs.I had major pain in the lower back yesterday.It went away after ice and stretching.Woke up this morning with major pain under left rib cage hurting very bad last few days having a lot of stomach pain that jumps around.
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Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Can be most likely due to gastritis or heartburn.

Detailed Answer:
Hello,
Thanks for posting query on this forum,
Have gone through your details.
There are three possibilities basically-
1)As pain is left sided and is felt below ribs and your age is 63,Possibility of coronary artery disease is to be ruled out initially.
I would suggest you to go for a E.K.G and 2D echo test,Any cardiac pathology will most probably be reflected in these tests.As CAD can lead to emergency it should be ruled out First..

2)History of Gastric pain is highly suggestive of Gstritis,Acid peptic problem causing heartburn.Pain due to heartburn can be felt in chest .If cardiac origin is ruled out i would suggest you to take a combination of analgesis and antispasmodic like Dicyclomine and Paracetamol along with PPI's like Nekium 40mg to provide symptomatic relief.
However an ultrasound Abdomen should be done along with microscopic stool test to rule out possibility of Stomach mucosa infection and inflammation.

3)As you have take ibuprofen,If you respond to it it means that pain can be muscular or bony in origin.Vitamin D and calcium levels should be checked in that case.

However chances of it being due to heartburn are significantly high.
I hope i answered your query well.
Feel free to ask follow up query.

Regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2448 Questions

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Suggest treatment for severe pain in the ribs

Brief Answer: Can be most likely due to gastritis or heartburn. Detailed Answer: Hello, Thanks for posting query on this forum, Have gone through your details. There are three possibilities basically- 1)As pain is left sided and is felt below ribs and your age is 63,Possibility of coronary artery disease is to be ruled out initially. I would suggest you to go for a E.K.G and 2D echo test,Any cardiac pathology will most probably be reflected in these tests.As CAD can lead to emergency it should be ruled out First.. 2)History of Gastric pain is highly suggestive of Gstritis,Acid peptic problem causing heartburn.Pain due to heartburn can be felt in chest .If cardiac origin is ruled out i would suggest you to take a combination of analgesis and antispasmodic like Dicyclomine and Paracetamol along with PPI's like Nekium 40mg to provide symptomatic relief. However an ultrasound Abdomen should be done along with microscopic stool test to rule out possibility of Stomach mucosa infection and inflammation. 3)As you have take ibuprofen,If you respond to it it means that pain can be muscular or bony in origin.Vitamin D and calcium levels should be checked in that case. However chances of it being due to heartburn are significantly high. I hope i answered your query well. Feel free to ask follow up query. Regards.