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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Ribs Pain, Acid Reflux, Nausea And Neck Lymph Glands Swelling?

Five weeks ago I started off with pain in my ribs in my back they have gotten to a point where I can not touch my whole left hand ribs both front and back. I have. Constant heart burn,and just towards my last two ribs what ever sits under it is painful constantly. It hurst when I eat, drink and walk. I have had nausea and my lymph gland in my neck and under my left arm pit has swollen. I m in so much pain I m not sleeping. I have been refer for ct scan as X-Ray showed nothing. Please note I had toxoplasmosis Gondi last year. I am constantly exhausted and it s like switching a light off during the day. I m on codeine for the pain
Mon, 22 Dec 2014
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Orthopaedic Surgeon,  's  Response
Hello.

Thanks for writing to HCM

There is possibility of hyper acidity with oesophageal reflux or gastric infection.
You may need to take antibiotic and anti-emetic.
I will advise to start antacids [proton pump inhibitors like] rabeprazole -D twice a day.
Sucralfate will protect gastric mucosa and will give protective covering.

Try to maintain body fluid by increasing fluid intake, take easily digestible food.
If not recovered then you need to consult your treating doctor.

You may need endoscopic evaluation and PET scan.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
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What Causes Ribs Pain, Acid Reflux, Nausea And Neck Lymph Glands Swelling?

Hello. Thanks for writing to HCM There is possibility of hyper acidity with oesophageal reflux or gastric infection. You may need to take antibiotic and anti-emetic. I will advise to start antacids [proton pump inhibitors like] rabeprazole -D twice a day. Sucralfate will protect gastric mucosa and will give protective covering. Try to maintain body fluid by increasing fluid intake, take easily digestible food. If not recovered then you need to consult your treating doctor. You may need endoscopic evaluation and PET scan. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.