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What Causes Pain Around Ribs While On Treatment For Helicobacter Pylori Infection?

Posted on Mon, 2 Mar 2015

Question: Hi

I took anti-biotics from h.pylori and still feel disconfort on my left rib. Do i need a second dose? I had a colonscopy as well and spincter was tight. Still feel pain when passing stool, and the stool takes long to pass

Answered by Dr. Dr.P.Ratnakar Kini (1 hour later)

Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

I would like to have some more information before I can give my opinion.

1. Before starting the treatment what symptoms you had?
2. What tests were done?
3. How was H.pylori diagnosed?
4. Why was colonoscopy done?
5. Any other medical illness?

Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (46 minutes later)

1. Pain in left rib.
2. Blood test, ultrasound, xray of chest
3. Endoscope
4. Had a small bowel resection 12 months ago and ever since was struggling when passing stool with a burning sensation so thought it was hemrroid etc.
5. No.

Answered by Dr. Dr.P.Ratnakar Kini (13 hours later)

Brief Answer:
No need for a second dose of Anti H.pylori

Detailed Answer:
Hi,
The left rib pain is not due to H.pylori infection. So you do not need a second dose of anti H.pylori.
Tight sphincter and pain while passing stool could be due to anal fissures.
High fiber diet, plenty of fluids, stool softeners sitz bath and topical application of anovate would provide good relief.
in sitz bath you need to sit in a tub of warm water with your anus exposed to it for 5-10 minutes.

I hope that answers your query.
Let me know if I can assist you further.
Regards,
Dr.R.K

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

Follow up: Dr. Dr.P.Ratnakar Kini (2 hours later)

And the left rib pain?

Answered by Dr. Dr.P.Ratnakar Kini (20 hours later)

Brief Answer:
GERD, musculoskeletal pain are possible causes

Detailed Answer:
Hi,
By left rib pain I presume you mean left side chest pain.
Some of the causes include GERD, respiratory infection, heart related issues and musculoskeletal.

I believe xray chest was normal which rules out respiratory causes.
Kindly get a ECG done if not done already.
You can take Nexium and Dolo-650 for relief. Nexium is a prescription drug.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr.P.Ratnakar Kini (1 hour later)

Ok after i have a stool that is painful, my stomach tends to be tender for a while amd bloated. This has been the case ever since my small bowel resection however it doesnt happen all the time.

Answered by Dr. Dr.P.Ratnakar Kini (30 hours later)

Brief Answer:
Why was small bowel resection done?

Detailed Answer:
Hi,
I would like to know why small bowel resection done?
When was it done?

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

Follow up: Dr. Dr.P.Ratnakar Kini (3 minutes later)

I had an accident and the seat belt caused a thickening of the bowel walls

Answered by Dr. Dr.P.Ratnakar Kini (23 hours later)

Brief Answer:
Was a stool analysis done?

Detailed Answer:
Hi,
Was the stool analysis done?
Is there any weight loss?
What length of the small bowel was resected?

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

Follow up: Dr. Dr.P.Ratnakar Kini (26 minutes later)

No stool analysis, initially there was weight loss.

I think 30cm.

Why do i still have pain in my ribs as well?

Answered by Dr. Dr.P.Ratnakar Kini (17 hours later)

Brief Answer:
More tests needed

Detailed Answer:
Hi,
In one of the earlier posts I have discussed about the possible causes of your left sided chest pain.

Since you have had small bowel resection and weight loss, malabsorption should also be ruled out. Malabsorption can cause abdominal bloating.

You can consult your gastroenterologist for tests for malabsorption.

Let me know if I can assist you further.
Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (25 hours later)

Is the chest disconfort suppose to last this long? Its worse when i sit down and in that position. Chest as in my ribs btw. Some of my stool floot as well. Like quarter of it, the rest sink, does tgat mean anything?

Answered by Dr. Dr.P.Ratnakar Kini (16 hours later)

Brief Answer:
Yes it can last this long.

Detailed Answer:
Hi,
Yes it can last this long.
Floating of stools could be due to fat malabsorption or increased fat in diet.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Prasad