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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain Under The Rib Cage After Having Food, Fever, Dizziness. Painful On Breathing. X-ray Normal. Due To Pleurisy? Prescribed With Prednisone

Today after lunch around 11:15 am , I got a SHARP pain in my lower right side of my back under the rib cage by my kidney , It doesnt hurt to walk or anything like that but hurts to breath.. scale of 1-10, I would say a 7. I am 32 yr old male and also got a fever of 101.3 around 5pm. have been very dizzy also. I went to the doctor today and they took a chest xray and found nothing . They also took a blood count and didnt see anything wrong. but then the doctor perscribed me with prednitzone (sp?) as an anti-inflamitory cause he said he thought i may have had pleurisy(sp?) . I have been reserching a lot since I got home and just dont think that is what it is. I Do not have a cough/ cold of any sort.. There is no chest pain at all. Just pain in my back when I take a deep breath. Could you please tell me what you think?
Wed, 22 Aug 2012
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
Are you suffering from any gastric upset like abdominal bloating, nausea, abdominal heaviness?
Pain on eating indicates only 3 disease: Peptic ulcer disease, acute cholecystitis, acute pancreatitis.
Pain on right side of abdomen with increasing on respiration indicates "Murphy's sign", a sign very specific for acute cholecystitis.
You should consult with physician and go for ultrasound imaging. If USG is normal then you should go for endoscopy and serum amylase.
Get well soon.
Hope for speedy recovery.
Dr. Mayank Bhargava

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Pain Under The Rib Cage After Having Food, Fever, Dizziness. Painful On Breathing. X-ray Normal. Due To Pleurisy? Prescribed With Prednisone

Hi, Thanks for posting your query. Are you suffering from any gastric upset like abdominal bloating, nausea, abdominal heaviness? Pain on eating indicates only 3 disease: Peptic ulcer disease, acute cholecystitis, acute pancreatitis. Pain on right side of abdomen with increasing on respiration indicates Murphy s sign , a sign very specific for acute cholecystitis. You should consult with physician and go for ultrasound imaging. If USG is normal then you should go for endoscopy and serum amylase. Get well soon. Hope for speedy recovery. Dr. Mayank Bhargava