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Child diagnosed with costochondritis, has no relief with medicines. What should be done?

this past friday i took my 10 yo daughter to her pediatrician because she was complaining of sharp pain near her rt abdomen . After her exam, the physician thought it was costochondritis and wanted her to rest and take ibuprofen . we have been doing that for the past two days but my daughter says the pain hasn t gotten any better and sometimes feels worse. when should be expect results from the rest and ibuprofen?
Asked On : Thu, 17 Jan 2013
Answers:  3 Views:  38
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Pediatrician 's  Response
Thanks for opting to post your queries and giving us this opportunity to clarify your doubts.
Well, first of all I would like to tell you that costochondritis is inflammation of the costal cartilage connecting the ribs with the breast bone(sternum). It can have a very non specific cause or can follow any kind of physical trauma like banging to a table, fall, injury while playing, etc. The main treatment modality for costochondritis is rest as much as possible(no strenous physical activity) and pain killers and anti-inflammatory medicines. Ibuprofen is a nice and strong medicine, but you can even try paracetamol if the pain is not being relieved. The pain should settle in another day or two. The more rest she gives to those cartilages, the faster they will heal.
Hope I have been successful in answering your questions and I will be available for any further queries of yours if any. Take care and stay healthy.
Answered: Mon, 21 Jan 2013
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Pediatrician Dr. E Venkata Ramana's  Response
Feb 2013
Thank you for your query,
Costochondritis is the inflammation of the cartilage junctions of the ribcage.
Ibuprofen is an analgesic and decreases the inflammation and decreases the pain.
With proper rest and ibuprofen pain will get subsided within 3 to 5 days, but if the pain is getting worse in spite of proper rest and analgesic consult your Pediatrician again to look into the other causes.
Hope i have answered your query.
Answered: Mon, 21 Jan 2013
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Pediatrician Dr. Synthyia Bhagat's  Response
Thanks for query.
Costochondritis is common cause of chest pain in young children.
It is usually caused by trauma., aggressive exercise,preceding respiratory infection.
Continue with paracetamol or ibuprofen for pain,apply ice packs for 15 to 20 min.limit exertion.
There is good recovery in few weeks,
I suggest you to do proper follow up with your pediatrician
God bless
Wishing your daughter good health,
Answered: Mon, 21 Jan 2013
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