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Suggest Treatment For Right Sided Pain That Radiates To The Back
Question: I have on my right side that goes to my back. It's a dull constant pain. In December last year and had a test with Constrast . I was told my gallbladder, liver , colon that everything was normal. I also had blood and all test were normal except my liver were a little high. However within normal range. I a 54 old female. What else should be test?
This time it started a couple of days ago It starts under my right rib and runs around the center of my back. Nothing seems to make worst or better. It does wake me at night also. Thank you
This time it started a couple of days ago It starts under my right rib and runs around the center of my back. Nothing seems to make worst or better. It does wake me at night also. Thank you
Brief Answer:
as explained in details.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/54 - pain on right that goes to back - dull constant - Test with contrast, blood - normal - wants to know what else test be done....
My thoughts:
What you need is a proper clinical evaluation and examination by a General Surgeon, this helps in most of the patients as certain problems are best diagnosed clinically and may not be shown by any tests as such.
For example:
Costochondritis wherein the pain is as you have explained or can be localized particularly to the lowest ribs and the abdomen just below it due to inflammation around.
Radiculopathy pain is easily diagnosed by suspicion and may be found out on MRI of the thoracic spine.
Fibromyalgia again is a clinical diagnosis.
Please give additional information for me to assist you better:
- Since when have you got the pain.
- Please tell me the exact location of the pain.
- Does the pain increase on the following factors:
Local pressure?
Anxiety and/or stress?
Particular movement of torso?
- Any other symptoms?
- Any enhancing or reducing factors?
I hope this answer helps you to get a proper diagnosis.
Please give feedback and ask for further relevant queries if you feel that there is a gap of communication.
Brief Answer:
As detailed below.
Detailed Answer:
Thanks for your short feedback.
This looks either to be costochondritis or radiculopathy pain.
I would advise you to have an opinion of a Neurologist and MRI of the Thoracic spine to see for any prolapsed disc or such a problem that can cause this.
I hope, this would help you to get a proper diagnosis and a plan for treatment.
as explained in details.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/54 - pain on right that goes to back - dull constant - Test with contrast, blood - normal - wants to know what else test be done....
My thoughts:
What you need is a proper clinical evaluation and examination by a General Surgeon, this helps in most of the patients as certain problems are best diagnosed clinically and may not be shown by any tests as such.
For example:
Costochondritis wherein the pain is as you have explained or can be localized particularly to the lowest ribs and the abdomen just below it due to inflammation around.
Radiculopathy pain is easily diagnosed by suspicion and may be found out on MRI of the thoracic spine.
Fibromyalgia again is a clinical diagnosis.
Please give additional information for me to assist you better:
- Since when have you got the pain.
- Please tell me the exact location of the pain.
- Does the pain increase on the following factors:
Local pressure?
Anxiety and/or stress?
Particular movement of torso?
- Any other symptoms?
- Any enhancing or reducing factors?
I hope this answer helps you to get a proper diagnosis.
Please give feedback and ask for further relevant queries if you feel that there is a gap of communication.
Brief Answer:
As detailed below.
Detailed Answer:
Thanks for your short feedback.
This looks either to be costochondritis or radiculopathy pain.
I would advise you to have an opinion of a Neurologist and MRI of the Thoracic spine to see for any prolapsed disc or such a problem that can cause this.
I hope, this would help you to get a proper diagnosis and a plan for treatment.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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