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Liver cirrhosis, gallstones, pain in lower left rib and spinal area. Sonogram normal. Taking Gabapentin 900 mg. Suggestions?

lower left rib pain, along with sharp pain/very tender spot off back spinal area...close to L4(4" left of spinal area).
No constipation, eating, loss of weight, etc. have liver cirosis, apparently some small gallstones(never before).
Previously had small kidney stones(2mm). Platlett count 140. No history of cancer in family.
Recent sonogram showed nothing wrong in the area. Taking gabapentin 900mg every 4-6 hours, little relief. Suspect damaged liver putting pressure on spleen, possible pancreas or stomach ulcer. confusing problem
Asked On : Sun, 7 Apr 2013
Answers:  1 Views:  59
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General & Family Physician 's  Response
As you described, sharp pain close to L4 and left rib with no abdominal/digestive symptoms, it is likely that a possible cause of such pain is of musculo-skeletal origin - spines, ribs or muscles around these. There is no other symptoms that suggest pain is due to liver pressure on the spleen or pancreas or stomach ulcer. Gabapentin is use for seizure and neuropathic pain and is not expected to treat pain of musculo-skeletal origin. Anti inflammatory drugs will be much effective. However it is important you go to you doctor as he/she will established the origin of pain ( musculoskeletal pain could be of several origin: discal hernia, trauma etc) and advise appropriate treatment.

Hope this is helpful
Dr Rogers
Answered: Sat, 6 Jul 2013
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