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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Pain Under Rib Cage, Have High Cholesterol, Sonogram Showed Enlarged Spleen. Cause For Pain?

Hi. I am asking for my mother. She is 48, has Hepatits A, non drinker, non smoker, works at a school and at a summer camp. She was recently diagnosed with high cholesterol . For the past year she has had a pain under the lower right rib cage. Gallbladder is ok, blood test normal, sonogram indicated a moderately inlarged spleen . This is her second opinion and no one can tell her what that pain is. Please help.
Wed, 8 Aug 2012
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Internal Medicine Specialist,  's  Response
hello.hepatitis can sometimes produce enlarged spleen but that is in acute phase and hepatitis A is self limiting disease and does not have a chronic phase unlike hepatitis B and C.

pain under right rib cage is mostly due to enlarged liver and not enlarged spleen but may be sometimes due to moderately or massively enlarged spleen when enlarged spleen crosses umbilicus comes to right side.

moderately enlarged spleen needs thorough investigations to rule out many conditions including blood disorders and other infective and non infective causes.

lower ribcage pain may also be bone pain or nonspecific pain or costocondritis depending upon the site.

other symptoms and signs like persistent low grade fever, bleeding disorders, weght loss and clinical examination in detail etc should be looked for.

so please get her checked by a good physician or internal medicine specialist for examination and evaluation to come to diagnosis.

all the best.

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Internal Medicine Specialist,  Dr. Prasad Akole's  Response
Dear friend, welcome to HCM.
splenomegaly is on the left and her pain on the right. does not correlate well.
the splenic enlargement needs good work up though.
can you tell what all blood tests were done?
are a hemogram, LFTs, PBS done?
we need lot of description and all reports done to opine accurately.
pl. post as much as possible.
take care and keep me posted on your progress.
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Have Pain Under Rib Cage, Have High Cholesterol, Sonogram Showed Enlarged Spleen. Cause For Pain?

hello.hepatitis can sometimes produce enlarged spleen but that is in acute phase and hepatitis A is self limiting disease and does not have a chronic phase unlike hepatitis B and C. pain under right rib cage is mostly due to enlarged liver and not enlarged spleen but may be sometimes due to moderately or massively enlarged spleen when enlarged spleen crosses umbilicus comes to right side. moderately enlarged spleen needs thorough investigations to rule out many conditions including blood disorders and other infective and non infective causes. lower ribcage pain may also be bone pain or nonspecific pain or costocondritis depending upon the site. other symptoms and signs like persistent low grade fever, bleeding disorders, weght loss and clinical examination in detail etc should be looked for. so please get her checked by a good physician or internal medicine specialist for examination and evaluation to come to diagnosis. all the best.