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What Causes Pain Under The Rib Cage While Having Hypertension?
Question: Hi,
Please help!
I've been experiencing some unusual pain - everywhere.
My whole chest area (underarms, breasts, chest) is extremely tender and hurts to touch, yet there are certain areas around the breasts that are extremely painful to touch (very painful).
I've now noticed in the middle of stomach (bottom of my rib cage) is now another area I cannot touch, very painful. These areas feel lumpy under the skin.
I have also been experiencing severe stomach pains (primarily after I eat anything - greens, healthy food, anything). If I go a couple of days without eating, the stomach pains seems to diminish slightly. Xrays, blood test and ultrasound all came back ok.
I also have very high blood pressure (last 10yrs) and doctors cannot find the cause for this, 190/115 is a good reading.
Any advice would be greatly appreciated.
Thank you, XXXXXXX
Please help!
I've been experiencing some unusual pain - everywhere.
My whole chest area (underarms, breasts, chest) is extremely tender and hurts to touch, yet there are certain areas around the breasts that are extremely painful to touch (very painful).
I've now noticed in the middle of stomach (bottom of my rib cage) is now another area I cannot touch, very painful. These areas feel lumpy under the skin.
I have also been experiencing severe stomach pains (primarily after I eat anything - greens, healthy food, anything). If I go a couple of days without eating, the stomach pains seems to diminish slightly. Xrays, blood test and ultrasound all came back ok.
I also have very high blood pressure (last 10yrs) and doctors cannot find the cause for this, 190/115 is a good reading.
Any advice would be greatly appreciated.
Thank you, XXXXXXX
Brief Answer:
As discussed in details below.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/39 - high BP 10 years - 190/115 is a good reading - to ER for stomach pains - X-rays, blood and ultrasound normal - mammography last year normal - pain and tenderness - underarms, breasts, chest - middle of stomach is very tender - lumpy - stomach pains after eating - wants advise:
Read the history carefully:
The high BP can be essential hypertension combined with stress and anxiety (a part of routine life wherein some people take this is a routine normal occurrence).
De-stress yourself by usual relaxation techniques,
Since there is pain and tenderness, there has to be reason. The most probable reasons are:
Fibromyalgia
Myalgia post viral or any sort of infection or exertion.
It is worth looking for whether this is due to anti-hypertensive or any other medication. These are very rare complications but have to be remembered .
This can be well diagnosed by:
Clinical evaluation and examination by a Doctor.
Relevant investigations either to confirm or rule out the possibilities.
Empirical treatment is both diagnostic and therapeutic.
The pain in the stomach needs the following:
Upper GI Endoscopy is the best diagnostic tool that has not been done, please arrange for this asap.
Take a PPI like Omeprazole.
Antacid whenever you are on empty stomach.
Anti-spasmodic as and whenever necessary.
I hope this answer helps you simplify the matter so that you can discuss with your Doctor to get the best possible diagnosis and management.
As discussed in details below.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/39 - high BP 10 years - 190/115 is a good reading - to ER for stomach pains - X-rays, blood and ultrasound normal - mammography last year normal - pain and tenderness - underarms, breasts, chest - middle of stomach is very tender - lumpy - stomach pains after eating - wants advise:
Read the history carefully:
The high BP can be essential hypertension combined with stress and anxiety (a part of routine life wherein some people take this is a routine normal occurrence).
De-stress yourself by usual relaxation techniques,
Since there is pain and tenderness, there has to be reason. The most probable reasons are:
Fibromyalgia
Myalgia post viral or any sort of infection or exertion.
It is worth looking for whether this is due to anti-hypertensive or any other medication. These are very rare complications but have to be remembered .
This can be well diagnosed by:
Clinical evaluation and examination by a Doctor.
Relevant investigations either to confirm or rule out the possibilities.
Empirical treatment is both diagnostic and therapeutic.
The pain in the stomach needs the following:
Upper GI Endoscopy is the best diagnostic tool that has not been done, please arrange for this asap.
Take a PPI like Omeprazole.
Antacid whenever you are on empty stomach.
Anti-spasmodic as and whenever necessary.
I hope this answer helps you simplify the matter so that you can discuss with your Doctor to get the best possible diagnosis and management.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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