Brief Answer:
Pain under left rib cage with pain in back / Under Evaluation

Detailed Answer:
Brief Ans- Pain under left rib cage with pain in back/ Under Evaluation

Hi,Dear!! Thanks for the query to HCM.
Read and reviewed the query facts and feel concerned about your health issues.
I worked up on your case in context to your health concerns of Pain in left stomach, under rib cage.

My Impression-
Based on the facts submitted,You seem to suffer Mostly from-missed out / unattended IBS with C(Constipation)-which causes pain under rib cage in your case.
Besides this pain, pain in left back could be from-bloated abdomen, which could be from accompanied undiagnosed constipated left large Bowel and held up bowel gases(from? undetected accompanied Anal Piles or fissure ),along with flared up IBS(irritable bowel Syndrome)

If this back pain is felt on right back-this could be from PCS(Post-cholecystectomy Syndrome), which is a common cause after gall bladder removed,as is your case.But this possibility does not seem to be there in your case,as you don't have any pains in right back.


Remedy-
Consults with attending/ operating-Surgeon to assess the causes as discussed above.He may rule out other causes after physical examination.
Get Anal and physical checks for its assessment done

Do's to relieve left stomach pain under ribs-
Take Seitz Bath(Warm water with antiseptic) x 2 times a day
Anovate Cream locally x 2-5 days
Dietary do's-
Take Bland liquid diet/like porridges and fruit juices
Avoid Spicy,fried, non-veg diet.
Be on Vegan diet to avoid its recurrence and to avoid further complications out of it.

If no relief-
Get stool tested.
Add Anti-inflammatory Like-Tab Advil-x 2-3 times a day x 5 days
Add Antibiotics-Like Ciplox OZ if need be x 5-7 days
Add Tab Bentyl-antispasmodic -to control pain under ribs and back
Add Probiotic -Cap Sporlac- 1 x 2-3 times x 2 weeks-
Be on Bland diet/yoghurt/butter milk x 2 weeks.
Tab PPI-like pantoprazole and Gastrokinetic-like-domeperidone-to control bloating and stomach pains from accompanied acidity.

Would Need of Planned Surgery-For total Cure of Anal piles/ or fissure, if need be.Other possibilities need to be ruled by Consults with Surgeon.

If you want more explanations for few more queries, You are welcome.
Await updates from You as asked above, so as to give specific reply to your extended query.

Welcome for any further query in this regard.

Hope this would help you to plan further of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229


Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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Brief Answer:
Pain under left rib cage with pain in back/ Under Evaluation

Detailed Answer:
Brief Ans- Pain under left rib cage with pain in back/ Under Evaluation
Mostly from-
1-IBS with Constipation-caused from accompanied? anal piles/fissure.
and with
2-PCS(Post-cholecystectomy Syndrome)

Hi,Dear!! Thanks for the query updates to HCM.
Read and reviewed the query facts along with updates.

My Impression-

In the given scenario, My opinion is as follows-
You seem to have 2 pain ailments as follows-
-Based on the facts submitted in updates,the pain felt by you under the left ribs seems to be from the accompanied missed out IBS with Constipation-caused from accompanied? anal piles/fissure.Hence it would need further physical checks from Second Surgeon to get 3rd party transparent opinion on reality,as told herewith.

-But in addition to this,you have confirmed in your updates that-there is another type -as felt in the back side in the middle back, -and is confirmed to be pain similar to pre-operative pain, for which Gall bladder stones were treated by gall bladder removal 2 mths back.
In this scenario,this second pain in middle of back seems to be caused from -PCS(Post-cholecystectomy Syndrome) and is now confirmed to be a possibility.
Hence PCS needs to be investigated and treated in your case.

3rd Possibility-is that both these pains could be caused from PCS ONLY-the one under left ribs-from reflux of bile causing Bile Induced Gastritis,which may give pains in back.The pains in the left lower abdomen seems to be from bile acid induced IBS-causing bloated abdomen with it.

But all this would need physical examination from 3 rd party assessment,for which Second Surgeon needs to be consulted and assessed as suggested above, to rule out various possibilities of your post-operative pains as complained by you.

Remedy-
Consults with attending/ operating- and or/ Second Surgeon to assess the causes as discussed above.He may rule out other causes after physical examination and would treat your case accordingly on lines suggested above.

Hope this reply would resolve your health issues and would help you to plan further proper care,with help of doctors there.

Dear, If you want more explanations for few more queries, You are welcome.
Await updates from You as asked above, so as to give specific reply to your extended query.

Welcome for any further query in this regard.

Hope this would help you to plan further of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229


Dear, if satisfied, Do close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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Brief Answer:
Wecome....24x7 !!

Detailed Answer:
Brief Ans-Welcome ....24x7 !! in time to come for .....
Pain under left rib cage with pain in back/ Under Evaluation

Mostly from-
1-IBS with Constipation-caused from accompanied? anal piles/fissure.
and with
2-PCS(Post-cholecystectomy Syndrome)

Hi,Dear !! I appreciate your thanks.
Would Welcome............24 x 7 !!.. for any health complaints in time to come

Hope you are satisfied with this reply, which would resolve your health issues and would help you to plan further proper care,with help of doctors there.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229


Dear, since you are satisfied, Do close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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