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What causes sharp pain from under the rib to hip level?

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Posted on Tue, 1 Apr 2014
Question: So my new tidbit of information is that now, my abdominal pain has extended to very sharp to the point of every time I push in any form (pee, poop, fart… anything) is now having really sharp pains from under my rib to my hip level only on the right side. Should I be concerned? Will this be something that will just add to my million of things that are breaking or is it possible just rest will allow it to disappear? I don’t want to freak out if it’s nothing… but it’s really uncomfortable. I don’t know how to determine when enough is enough? OK SO THIS WAS A RECENT POST I HAD! I am still waiting on a lot of test results but all problems are still valid… I just wanted to post it to give a good idea of what my recent medical issues are like: I'm having a bunch of problems that I feel that my current family doctor pushes aside due to my age. I am a 24 year old female, DOB XXXXXXX 14, 1990. I have two living children and have had one miscarriage (completely natural). I have no stitches and each delivery was under 10 minutes (9 for the first, 7 for the second). The youngest just turned a year old. Since her birth I have had health troubles that I haven't been able to ignore. They left pieces of the afterbirth which caused hemorrhaging. After that, they implanted the Mirena IUD. I still have random spotting but it's more or less subsided. Have the following issues: Dizziness - where it feels like I'm about to faint and everything gets blurry for a second. Happens a few times in a day. Vision issues - I have had A LOT More tunnel vision / blurred vision than normal. No specific times and nothing in particular triggering it that I know of.. it just happens. And I can't help but space out sometimes and it takes a few minutes to zone back in. Abdominal pain - I was having a lot of cramping which the family doctor told me was because of the IUD. Then I saw my OBGYN who said it was because I had an enlarged fatty liver and needed to seek more medical help. It often was random sharp pains in the uterus area then reaaallly sharp pains on the upper right quadrant and by the time I saw my family doctor (after the testing) the pain extended to my upper left quadrant. (close to my rib cages) My family doctor then told me that it didn't matter and just eat better and exercise more. This was last investigated in November. Leg pain - Shortly after this visit, I had to stop because my shins were killing me (couldn't even walk on them) and the doctor poked them lightly then said they were shin splints and to rest. I limited my activity to 30 minutes of brisk walking but even that got too excessive so I stopped entirely. Now, even just sitting down I feel my legs spasm - primarily in the shins and slightly above the knees - my left more than my right. If I'm walking, I feel sharp pains completely randomly start from my left buttock all the way down to my toes. I've been having those walking pains since my first child but they come and go. I saw a chiropractor who said he thought I might've had herniated discs that were pressing on nerves but needed to do more testing after my pregnancy to verify, but hasn't verified since. My shin problem occurred in October. Prior to the shin problem, I was exercising intensely from April to October doing 2 hours a day, 5 days a week and had lost 35 lbs. Due to the shin issue, I had to stop my exercise. Vaginal issues- in addition to my leg spasms, I often feel numbness in the upper-inner thigh on my left side which also results in me having the left side of my vagina numb. Feels like your foot would feel like if it fell asleep. Even if I touch it, I mentally know it's being touched but can't feel it. I do have genital herpes but it is HSV-1 and I rarely have outbreaks. Continually, I have noticed there is one spot on the left side that keeps getting recurring acne.. just one giant white head that looks like it's ontop of a blister but feels like a pimple... and if I pop it it comes back a few times before goes away. This has happened three times since early January. Feet - Both my right and my left feet go randomly numb - more so my left. Even if I'm just walking or sitting for dinner... it will randomly go numb and fall asleep. Nausea - not enough to throw up but enough to lose appetite. I have to consciously eat 3 meals a day otherwise I forget because my stomach is just so upside down feeling. Heartburn - I was told as a young teen I had gastro esophageal reflux disease, was on medicine for it, but then changed my diet to avoid foods that triggered it and since then rarely have problems. I haven't had a diet change since then but since the pregnancy, it got better for a few months but has been back full force for about 4-5 months now. Hand problems - I've been having sharp pains in my wrists and occasionally losing grip while I'm holding stuff - primarily with my right hand. Extra fatigue - No matter if I sleep 2 hours or 12 hours I feel the exact same tiredness. I've tried making my sleep schedule the same, which didn't solve the issue. I've tried increasing my fruits and vegetables, my vitamin C, eating more foods with natural energy, but all of which don't work. I've tried changing the layout of my room, which didn't help. I can literally sleep any where any time if I was given the opportunity. Chest problems - my chest has occasional sharp pains since October. When I talked to my family doctor about it he said I was 23 (at the time) and just need to exercise more. He commented on my weight as I was 175lbs and 5'4" (even though I wasn't eating much at all and exercising often) and said I needed to exercise more. I told him I would try but didn't think that was the problem... Since then, I've stopped exercising but still get my daily walks in and am constantly on the go. Even walking up a flight of stairs sends me out of breath and I feel like someone is constantly sitting on my chest. About 3-5 times a day I get the sudden, sharp pains but then it subsides to just the heavy, tightness on my chest. I'm not gasping for air but I feel it significantly harder than the summertime when I was exercising so much more. Excessive Thirst - I have been ridiculously thirsty. When mentioned to my doctor he said that it was okay. Over an 8 hour shift I drink 8-10 glasses of water and maybe 4 1L water bottles throughout the day. If I don't drink much water, I feel like I'm going to faint. Even with all my water consumption, my mouth feels dry and pasty. Lungs - I was born with underdeveloped lungs. My mother smoked around me as a child and I have chronic bronchitis. I didn't get it for a couple of years but I feel like it's back again. :( On Feb 4th, - I donated blood for the first time. (I'm O-). And within 5 minutes of the donation they had to stop because my arms got randomly cold and I nearly fainted. After this donation, I have had the chest problems restart and now have been constant. I had random times when my heart would start racing for no reason. My hemoglobin count was 153 at that point. I am tired of being in pain 24/7 and I miss my exercise. I am now 185lbs and have noticeable weight gain. I feel like I can't move without pain and discomfort. I really hope you have some suggestions because my doctor seems to think I'm 100% okay and everything feels like it's getting worse. I just want to curl into a ball and stay in bed all day. I hope you can help! Asked by Me , Fri, 21 Feb 2014 One other thing I forgot to mention... starting in September, whenever I would run, I would feel sharp pains in my shoulder blades as well as if it was piercing with a knife and made it very difficult to breathe. Advice?
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Answered by Dr. Praveen Tayal (4 hours later)
Brief Answer: Likely to be nerve pain. Detailed Answer: Hello, Thanks for posting your query. The sharp pain from under the rib to hip level only on the right side can be due to a mild nerve root compression or irritation. This is not likely to be related to any serious problem. Sometimes, it can be due to dehydration, muscle fatigue or electrolyte abnormalities. It is better to drink sufficient fluid and also see that your intake of electrolytes (sodium, potassium, magnesium ) is sufficient. You can drink Oralyte or fresh fruit juices for this. The sharp pains in the shoulder blades while running are also related to frequent muscle spasms. Adequate warming up and regular exercise will help in decreasing this pain. Try to lose few extra pounds with proper diet control and exercise like aerobics or swimming. Also get your thyroid hormones levels evaluated. You can take some vit B12 for some days and see if the symptoms improve. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Praveen Tayal (3 hours later)
Well, although I know weight is a factor I don't think it's the cause. I mean... i had these problems when i was a lot lighter... and only gained back the weight because it hurt too much to exercise after awhile (this wasn't the case when I first was exercising). The abdominal area seems irritated like... SLIGHTLY swollen only on the right side.. kinda mid-way to lower but the pain extends still from rib cage to lower region... and seems to be worsening to it's not just when I'm pushing in any way just worst when I do any push of any kind or if there's pressure applied. And I do hydrate A LOT I mean, if I don't, my mouth gets crazy pasty. I drink about 3-4 bottles of water just during my shift... and each bottle contains 2 cups.... let alone during the day as well... where I'll probably have 2-3 more bottles?... so..... XXXXXXX 7 bottles... 14 cups of water a day? and even then i still feel parched most of the time.........
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Answered by Dr. Praveen Tayal (3 hours later)
Brief Answer: Get serum electrolytes evaluated. Detailed Answer: Hello. Thanks for writing again. If you are feeling parched even after taking all this fluid it means that you are dehydrated and your serum electrolytes need to be evaluated. The slight swelling on the right side of the abdomen could be a physiological variation or due to an abdominal cause. It is best to get an ultrasound scan done to rule out any pathology. Hope my answer is helpful. If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health. Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Praveen Tayal (14 minutes later)
Thanks. I found that the pain from my abdominal area was increasing during my work patrol so I will go for further testing once my shift is over. Thanks for your help
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Answered by Dr. Praveen Tayal (26 minutes later)
Brief Answer: Right decision. Detailed Answer: Further testing will help in pin pointing the cause. Do keep me informed regarding the progress. Wishing you an early trouble free recovery. Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12368 Questions

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What causes sharp pain from under the rib to hip level?

Brief Answer: Likely to be nerve pain. Detailed Answer: Hello, Thanks for posting your query. The sharp pain from under the rib to hip level only on the right side can be due to a mild nerve root compression or irritation. This is not likely to be related to any serious problem. Sometimes, it can be due to dehydration, muscle fatigue or electrolyte abnormalities. It is better to drink sufficient fluid and also see that your intake of electrolytes (sodium, potassium, magnesium ) is sufficient. You can drink Oralyte or fresh fruit juices for this. The sharp pains in the shoulder blades while running are also related to frequent muscle spasms. Adequate warming up and regular exercise will help in decreasing this pain. Try to lose few extra pounds with proper diet control and exercise like aerobics or swimming. Also get your thyroid hormones levels evaluated. You can take some vit B12 for some days and see if the symptoms improve. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal