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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sudden Popping Under The Ribs, Can't Take A Deep Breath, Laugh Or Cough. On Warfarin, No Pain Medicines. What's Wrong ?

I was bending over my large oval tub trying to clean it and had all of my weight distributed on the edge of the tub. All of a sudden I heard a pop, it felt like something shifted and I was in immediate pain. When I finally got up, I checked to see if I was bruised under my ribs but there wasn t anything. For the next couple days I was fine. Then I went to church and was raising my hands in praise, after that moment it has been very painful. I can t take a deep breath, laugh or cough . It hurts to get out of bed or get out of a chair. I would take ibuprophen but I am on warfarin for a DVT caused by trama from a pic line in my subclavian vein . I know, I sound like a mess! I am a 55 year old woman w/ idiopathic gastroparesis 7 yrs now. I do not take pain meds and thought this pain would subside but it seems worst. Do you think I should see my doctor. I hate to go since this would be another problem & I am not that type of patient. It just feels like something is really wrong. Thank you...AAAAA
Tue, 6 Aug 2013
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General & Family Physician 's  Response
Hi,
It seems that you might be having fracture in your rib.
Go for x-ray chest.
Consult orthopedic surgeon and get examined.
Ok and take care.
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

From the given description, I am of the opinion that you have suffered an intercostal muscle pull or catch making you painful while coughing, breathing or laughing.

The general conservative measures for this condition is as follows -

* avoid lying on the affected side
* Ice packing to relieve the acute pain
* Local application of painkiller gel (as you are intolerant to oral painkillers)
* once the acute pain subsides, moist heat application to relax the soft tissues

Hope this information is helpful. Good day
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Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Sudden Popping Under The Ribs, Can't Take A Deep Breath, Laugh Or Cough. On Warfarin, No Pain Medicines. What's Wrong ?

Hi, It seems that you might be having fracture in your rib. Go for x-ray chest. Consult orthopedic surgeon and get examined. Ok and take care.