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Suggest Remedy For Pain And Swelling Near The Rib Cage

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Posted on Wed, 15 Jul 2015
Question: I have pain under my left breast at top of rib cage feels like a bruise but it is more painful and it is swollen I am going to XXXXXXX in s couple of days for a month do you think this will just settle down
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Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
Rule out any cardiac cause , first

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on your history and description, the pain can be due to costochondritis or an inflammatory process involving the soft tissue of the breast or in the region of the ribcage. Mastitis or fibroadenoma could also be a possibility. However, an EKG should be advised primarily to rule out any cardiac cause for the chest pain. If the EKG is clear then the breasts should be examined. If there is localized swelling and a lump then an ultrasound of the breast can be advised. Erythema and tenderness if present can also be treated empirically by a course of antibiotics and NSAIDs. If costochondritis is case then anti inflammatory medication can be continued at maximum dose to provide adequate relief. A chest x ray should also be advised in case a history of trauma is determined. If there is difficulty in breathing associated with the chest pain then a local nerve block can be offered to avoid atelectasis.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Remedy For Pain And Swelling Near The Rib Cage

Brief Answer: Rule out any cardiac cause , first Detailed Answer: Hello and Welcome I appreciate your concern Based on your history and description, the pain can be due to costochondritis or an inflammatory process involving the soft tissue of the breast or in the region of the ribcage. Mastitis or fibroadenoma could also be a possibility. However, an EKG should be advised primarily to rule out any cardiac cause for the chest pain. If the EKG is clear then the breasts should be examined. If there is localized swelling and a lump then an ultrasound of the breast can be advised. Erythema and tenderness if present can also be treated empirically by a course of antibiotics and NSAIDs. If costochondritis is case then anti inflammatory medication can be continued at maximum dose to provide adequate relief. A chest x ray should also be advised in case a history of trauma is determined. If there is difficulty in breathing associated with the chest pain then a local nerve block can be offered to avoid atelectasis. Wishing you best of health Thanks Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil