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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes pain under rib cage?

Hi, I have pain under my right rib cage at the lower end. This is not new. I have had an ltrasound which is clear. It is mostly at night and not all the time. This has been going on for a few years. I would appreciate any advice . I'm 47 not overweight, non smoker and social drinker. Susan
Thu, 23 Jul 2015
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General & Family Physician 's  Response
Dear Susan,

The symptoms as mentioned in your post can be attributed to:
1. Spasm of the chest muscles- management will involve application of muscle relaxant gel & intake of analgesic (like Diclofenac) + Pantoprazole preparation.

2. Gastrointestinal cause- due to accumulation of gas and excess acid formation in stomach. Symptomatic relief can be obtained with intake of Proton pump inhibitors like Pantoprazole, which prevent acid formation in stomach (to be taken before meals)+ antacid gel (to be taken after meals).

However, an ECG can be done to rule out any Cardiovascular cause for the symptoms.

So, kindly consult your General Physician and start treatment as advised.
There is no need to worry, you will be fine.
Take care.
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What causes pain under rib cage?

Dear Susan, The symptoms as mentioned in your post can be attributed to: 1. Spasm of the chest muscles- management will involve application of muscle relaxant gel & intake of analgesic (like Diclofenac) + Pantoprazole preparation. 2. Gastrointestinal cause- due to accumulation of gas and excess acid formation in stomach. Symptomatic relief can be obtained with intake of Proton pump inhibitors like Pantoprazole, which prevent acid formation in stomach (to be taken before meals)+ antacid gel (to be taken after meals). However, an ECG can be done to rule out any Cardiovascular cause for the symptoms. So, kindly consult your General Physician and start treatment as advised. There is no need to worry, you will be fine. Take care.