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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Pain Under The Ribcage Be Treated?

I am a 66-year-old female. I am in stage 3 kidney failure. I have pain under my right rib tonight that is also in my kidney. I have my right kidney only. I cannot take anything for pain. Can you suggest something I can do to help alleviate this discomfort?
Tue, 28 Aug 2018
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Internal Medicine Specialist 's  Response
Hi,

Despite that, I'll try to provide - hopefully - helpful advice. Let me start with this: kidney failure does not cause pain unless it's been caused by obstruction. In that case the obstruction would cause pain.

A renal stone is the most common cause of renal obstruction. You haven't accurately specified the site of pain. I haven't understood whether the pain was in front (the abdomen) or the back.

Kidney obstruction may cause pain both in front and back. Flank pain is expected when the stone is high in the kidney. As the stone descends down the ureter the pain starts to move towards the front.

When the stone gets stuck right before the entrance to the bladder the patient may feel pain in the lower abdomen and may be accompanied with symptoms of the lower urinary tract (frequency, urgency, etc).

If the pain is on the front only then the gallbladder should be investigated. If you do know the cause of pain then taking analgesics is indicated. The safest for you is paracetamol (which won't worsen your renal failure).

If its effects are not sufficient a mild opioid can be added. There are some formulations with combinations of paracetamol with opioids. All of the drugs that contain opioids are prescription drugs.

If the source of pain is still uncertain then the investigation is indicated.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Pain Under The Ribcage Be Treated?

Hi, Despite that, I ll try to provide - hopefully - helpful advice. Let me start with this: kidney failure does not cause pain unless it s been caused by obstruction. In that case the obstruction would cause pain. A renal stone is the most common cause of renal obstruction. You haven t accurately specified the site of pain. I haven t understood whether the pain was in front (the abdomen) or the back. Kidney obstruction may cause pain both in front and back. Flank pain is expected when the stone is high in the kidney. As the stone descends down the ureter the pain starts to move towards the front. When the stone gets stuck right before the entrance to the bladder the patient may feel pain in the lower abdomen and may be accompanied with symptoms of the lower urinary tract (frequency, urgency, etc). If the pain is on the front only then the gallbladder should be investigated. If you do know the cause of pain then taking analgesics is indicated. The safest for you is paracetamol (which won t worsen your renal failure). If its effects are not sufficient a mild opioid can be added. There are some formulations with combinations of paracetamol with opioids. All of the drugs that contain opioids are prescription drugs. If the source of pain is still uncertain then the investigation is indicated. Hope I have answered your query. Let me know if I can assist you further.