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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why do I keep getting cramps in my rib cage?

Answered by
Dr.
Dr. Gopal Goel

Orthopaedic Surgeon

Practicing since :1983

Answered : 1227 Questions

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Posted on Tue, 12 Jun 2018 in Bones, Muscles and Joints
Question: Hi Doctor,

History of Pain in rib cage and center of the chest(vertical)

I have been experiencing pain in rib cage from 2 yrs
First visited pulmonologist and after TMT test..he ruled out that its a vitamin deficiency and gave vitamin D3 and calicium tablets..the pain is gone and now from last 3 months i got this pain again..now went to orthopedic ..xray was take from front and side..nothing was there he told me..he went said vitamin D3 and gave pills..also i said thinking of this my heart beat increase and night i am not able to sleep properly..he gave ultracet and inderal

Mostly the pain is left and right side of rib cage and under arm pits and center of the chest vertical way down

please let me what kind of condition is this..and any further tests should be done?
doctor
Answered by Dr. Gopal Goel 22 minutes later
Brief Answer:
Get tested for Bone weakness.

Detailed Answer:
Hi I am Dr Gopal Goel Orthopedic Surgeon.
I have gone through all the details provided by you and the fact that the pain is reduced by Vit D3 supplementation.
Pain in this region is generally , apart from chest infection and cardiac problem , is due to musculo skeletal involvement- either spasm of muscles ,or at bony attachment of muscles .
I would think again in terms of Osteopenia. I suggest you get Bone densitometry Dexa scan, Serum Calcium, S Phosphorus, S Alkaline phosphatase , and Serum Vitamin D3.
I would advice Regular supplementation of Vitamin D .
Thanx for the question. Please feel free to ask any other question.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Gopal Goel 15 minutes later
I am slightly getting phelgm which is not thick and i asked the chest doctor if it is infection or any inflammation..he said NO..if at all if u have infection u would get cough..but i dont have cough...mostly i feel like putting my hand in center of the chest..where the bones from left and right join with the center bone...

I will get these tests done and get back to you..
Also if it is something related to bone density why i am only getting this pain in rib and chest..not in hands or legs or any part?
doctor
Answered by Dr. Gopal Goel 4 minutes later
Brief Answer:
will wait for results.

Detailed Answer:
Hi
Will wait for reports.
Bone densitometry is generally done for 2 sites (L) Hip and Spine. Not specifically for ribs and Sternum.
Thanx
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Gopal Goel 48 hours later
I have upload the test..please have a look..
Bone density test should be performed for spine or hip or entire body?
I have to get this done as only few diagnostics do here in my place
doctor
Answered by Dr. Gopal Goel 13 minutes later
Brief Answer:
Normal reports

Detailed Answer:
Hi

These blood reports are normal. Let us wait for bone density test (dexa hip and spine).

Thanks
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Gopal Goel 22 hours later
Doctor,

I have uploaded the bone density report
doctor
Answered by Dr. Gopal Goel 29 minutes later
Brief Answer:
BMD is normally

Detailed Answer:
hi Bmd is normal.
I suggest take calcium once daily and vit d3 once in a month.
Thanx
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Gopal Goel 37 minutes later
can you write the name of the calcium tablet and D3 name please?
doctor
Answered by Dr. Gopal Goel 1 hour later
Brief Answer:
Please see below

Detailed Answer:
hi
To my patients I generally prescribe Tab CCM and Cap Shine D3 60k.
thanx
Above answer was peer-reviewed by : Dr. Prasad
doctor
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