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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Ribs?

I have a dull pain in my left side, under the ribs. I believe it's in the spleen. What could it be? Also I'm having this pain due to strained efforts also on the left side of my pelvis. I have a family history of hernias in this exact place (my grandfather went through a rough patch due to that) but an ecography showed nothing, at least in the intestine... Thanks a lot in advance.
Tue, 26 Aug 2014
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General & Family Physician,  's  Response
Hello and Welcome

I appreciate your concern.

I would advise a physical exam to look for a hernia, an ultrasound abdomen to look for enlarged spleen if you are worried. A cbc to look for decreased platelet count and anemia.

I would empirically recommend a two week course of a
PPI such as Pantoprazole and a pro kinetic
like itopride to see for improvement

If your symptoms persist please fix an appointment with your doctor so that a physical exam is performed after a complete history and the necessary investigations are done to look for any other cause

wishing you best of health

Thanks
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What Causes Pain In The Ribs?

Hello and Welcome I appreciate your concern. I would advise a physical exam to look for a hernia, an ultrasound abdomen to look for enlarged spleen if you are worried. A cbc to look for decreased platelet count and anemia. I would empirically recommend a two week course of a PPI such as Pantoprazole and a pro kinetic like itopride to see for improvement If your symptoms persist please fix an appointment with your doctor so that a physical exam is performed after a complete history and the necessary investigations are done to look for any other cause wishing you best of health Thanks