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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 Upper Rib Cage?

I am having pain in my upper rib cage on the right side. I am also having pain in my back about the lower mid back on the left side. Is it heartburn or something I should be more concerned about? I have had the pain in my right side before and have attributed it to heartburn, but the combination of bOth rib pain and back pain has me a little concerned.
Wed, 5 Sep 2018
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General Surgeon,  's  Response
Hi,

Pain in the right upper rib cage and at the same time pain on the left side on the back can be due to local inflammation of the ribs and/or muscles akin to costochondritis. Heartburn is burning in the center of the chest or back, which is usually enhanced by foods and fluids, relieved by antacids and a PPI like Pantoprazole.

Hence, take a PPI and antacid to see if there is a relief that can help to get a proper diagnosis. If there is a relief to get a consultation of a gastroenterologist and an appointment for an Upper GI Endoscopy and other tests. Also get an EKG/ECG, and X-ray chest to rule out any causes related to the heart and lungs or pleura. Further management depends upon the findings and clinical evaluation.

Hope I have answered your query.
Let me know if I can assist you further.
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What Causes Pain In The Upper Rib Cage?

Hi, Pain in the right upper rib cage and at the same time pain on the left side on the back can be due to local inflammation of the ribs and/or muscles akin to costochondritis. Heartburn is burning in the center of the chest or back, which is usually enhanced by foods and fluids, relieved by antacids and a PPI like Pantoprazole. Hence, take a PPI and antacid to see if there is a relief that can help to get a proper diagnosis. If there is a relief to get a consultation of a gastroenterologist and an appointment for an Upper GI Endoscopy and other tests. Also get an EKG/ECG, and X-ray chest to rule out any causes related to the heart and lungs or pleura. Further management depends upon the findings and clinical evaluation. Hope I have answered your query. Let me know if I can assist you further.