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Pain in rib cage, soreness. Back pain. Have asthma and cough

I have light pain to my right upper rib cage/skin area which I am aware of to the touch. If I push gently it feels sore and uncomfortable - no such sensation on left side. I have been aware of this over the last few years, perhaps, and it comes and goes. This time, I am also aware of what feels like a light superficial pain on the right side on my back - no signs of anything on skin that might explain this. Neither pains are intense, but I am aware of something not being right. I have not had any accident or done anything I am aware of to cause damage - e.g. knocked my rib cage. I have some asthma , not being treated at present, cough a little from time to time, but not very much and more so at night. Otherwise, I m feeling well, no fever , no sickness. I m sleeping poorly at the moment, due to some anxiety , most likely. Advice would be appreciated.
Asked On : Sat, 29 Dec 2012
Answers:  1 Views:  120
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General & Family Physician 's  Response
Dear concerned.,

Thanks for writing to us,

The only positive history given by you is that you have been an asthmatic.

You have not indicated about your glycemic status/thyroid status/ any history of passing dark or high coloured urine/loss of appetite/nausea/jaundice .These would have indicated co morbid conditions as the pain under ribcage is only a symptom.

Now we can think of probabalities ,we call them differential diagnosis.

(a)Fibromyalgia;-The exact reason for the disorder is unknown.But is associated with anxiety and depressive illness with heightened response to pressure on a particular area.

The treatment includes analgesics/excercise/behavioral interventions/Health education.

In addition pls undertake baseline blood/urinalysis/Chest X-ray PA and lateral views to rule out any associated conditions.

(b)Are you a right hander with heavy mechanical /physically stressful occupation, in that condition of RSI -or repetetive stress injury, the rest to the part/Physiotherapy/analgesics will be useful.If no therapy works out consider a change in your job/occupation.

In addition you are also advised to keep your Asthma under regular control with bronchodilators-inhalers/pulmonary function tests and regular follow up with Pulmonologist.

Wishing you a very speedy recovery.,

With Best Regards.,

Dr Lt Cdr ASN Bhushan.,

Answered: Sun, 30 Dec 2012
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