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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain Below Rib Cage When Coughing, Breathing Deeply. Spleen Problem?

I have been experiencing pain in the area directly below where my rib cage ends on the left side for the past week. I am very active and initially thought that I had pulled a muscle. The pain is severe at times resulting in me actually yelling out when I cough ,breath in deeply, turn over in bed, and ever bend over to tie my shoes. I can pinpoint the pain by pressing on the soft tissue area following along the curvature of my rib cage. Is it possible that something is going on with my spleen? According to my research that is the organ that is located in that area.
Fri, 22 Mar 2013
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General Surgeon,  's  Response
Hi ad welcome to HCM
Yes, spleen is situated there but also stomach, left colon and lower part of lungs.
First thing to think about is muscle pulling and it is treated by rest and painkillers.
Some more serious are pneumothorax and spleen contusion, and small diaphragmatic rupture but these ones would have more intensive symptoms. Also any kind of pneumonia and pleuritis can cause such pain. I suggest to wait 3-5 days to see progression of pain. If you have dificulty breathing or any other serious symptom or pain progress go to hospitalas soon as you can.
Wish you good health.
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Pain Below Rib Cage When Coughing, Breathing Deeply. Spleen Problem?

Hi ad welcome to HCM Yes, spleen is situated there but also stomach, left colon and lower part of lungs. First thing to think about is muscle pulling and it is treated by rest and painkillers. Some more serious are pneumothorax and spleen contusion, and small diaphragmatic rupture but these ones would have more intensive symptoms. Also any kind of pneumonia and pleuritis can cause such pain. I suggest to wait 3-5 days to see progression of pain. If you have dificulty breathing or any other serious symptom or pain progress go to hospitalas soon as you can. Wish you good health.