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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling And Pain In Abdomen And Upper Rib Cage?

Hi, for the last 4 days I ve noticed my stomach and upper rib cage swelling. It has gradually got worse to the point that my skin feels streached around my rib cage area to the degree it feels sore. My stomach rubbles at nights and I tend to burp after drinking. The two weeks before all this I twisted my back and have a dull pain.
Fri, 5 Dec 2014
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Orthopaedic Surgeon,  's  Response
Hello

I have studied your case.

I will advise to start antacids [proton pump inhibitors like] rabeprazole 20 mg twice a day.
Sucralfate will protect gastric mucosa and will give protective covering.

Gases formation if you have can be reduced by eating easily digestible food stop non veg drink plenty of water.
If required you may need to do upper GI endoscopy.

due to back twist there can be muscle spasm.
Also there can be disc bulge which is compressing over spinal cord.

For these symptoms analgesic and neurotropic medication can be started.
Till time, avoid lifting weights. You can consult physiotherapist for help.
Physiotherapy like ultrasound and interferential therapy will give you relief.
I will advise to check your vit B12 level.
If required MRI spine need to be done along with blood investigation to rule out chronic arthritis.

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 Swelling And Pain In Abdomen And Upper Rib Cage?

Hello I have studied your case. I will advise to start antacids [proton pump inhibitors like] rabeprazole 20 mg twice a day. Sucralfate will protect gastric mucosa and will give protective covering. Gases formation if you have can be reduced by eating easily digestible food stop non veg drink plenty of water. If required you may need to do upper GI endoscopy. due to back twist there can be muscle spasm. Also there can be disc bulge which is compressing over spinal cord. For these symptoms analgesic and neurotropic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and interferential therapy will give you relief. I will advise to check your vit B12 level. If required MRI spine need to be done along with blood investigation to rule out chronic arthritis. 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