
What Causes Intermittent Pain Near The Left Rib Cage?

Posted on
Thu, 19 May 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team


Question : For the past 8 hours, I've had this off and on pain near my left rib cage almost extending to the lower portion of my left breast. It sometimes hurts to take a deep breath on this side. Or I would notice the pain when I get up and walk around. The pain comes and goes and I can't tell if its on the inside (lungs) or outside (hurt a rib?). This morning I went on a huge eating binge of junk food and cookies and have had IBS and stomach issues of bloating since then. Not sure if it is related to this or not. Any suggestions?
Brief Answer:
Explained
Detailed Answer:
Hello and welcome
I appreciate your concern
Based on your description it is most likely related to GERD which is a common cause of such pain. However a cardiac cause should be looked for by performing a baseline ECG. Ultrasound of the abdomen and chest both should be done. Inflammation of the pleura or any fluid accumulation should be looked for. PPIS like lansoprazole with prokinetics such as domeperidone can be advised to look for empirical improvement if no specific cause can be identified.
let me know if you have any query
Please consult your doctor before taking any further course of action
Wishing you best of health
Thanks
Dr M.S Khalil
Explained
Detailed Answer:
Hello and welcome
I appreciate your concern
Based on your description it is most likely related to GERD which is a common cause of such pain. However a cardiac cause should be looked for by performing a baseline ECG. Ultrasound of the abdomen and chest both should be done. Inflammation of the pleura or any fluid accumulation should be looked for. PPIS like lansoprazole with prokinetics such as domeperidone can be advised to look for empirical improvement if no specific cause can be identified.
let me know if you have any query
Please consult your doctor before taking any further course of action
Wishing you best of health
Thanks
Dr M.S Khalil
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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