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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stabbing Abdominal Pain?

Hi, I am 26 years old girl. I am having right side stomach severe stabbing pain under the rib cage and lower to that part. I have done CT scan, ultrasound, colonoscopy and blood test. everything seems to be normal except Vitamin D deficiency. (in my blood work). More from my symptoms is, if I walk or do something physical, or If I bend myself from stomach,the pain will start, but if I am sitting or sleeping like lazy girl, it will stop. If I take pain killers, it will go eventually. Please help me
Wed, 3 Sep 2014
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General Surgeon 's  Response
HI.
This is most probably due to Costo-chondritis as all your investigations you noted are normal including the CT scan , ultrasound and blood tests.
Costo-Chondritis. :: This is so much suggestive of a condition called costo-chondritis., although the reason here is known to be a trauma.
I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis.
I would suggest the following treatment.
-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.
-Anti-inflammatory medicines in full dose as per the weight.
-Steroids if required for its strong anti-inflammatory role.
-Lasix to reduced the edema.
This sort of a treatment helps all my patients. and should help you too.
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What Causes Stabbing Abdominal Pain?

HI. This is most probably due to Costo-chondritis as all your investigations you noted are normal including the CT scan , ultrasound and blood tests. Costo-Chondritis. :: This is so much suggestive of a condition called costo-chondritis., although the reason here is known to be a trauma. I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis. I would suggest the following treatment. -Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur. -Anti-inflammatory medicines in full dose as per the weight. -Steroids if required for its strong anti-inflammatory role. -Lasix to reduced the edema. This sort of a treatment helps all my patients. and should help you too.