What Causes Persistent Pain In Legs And Ribs?

Posted on Sat, 17 Oct 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 17 Oct 2015 Answered on

Sat, 14 Nov 2015 Last reviewed on

Question : Hi how are you I've been having a deep ache in my right and left ribs and at time the pit bothers me...Constant since the end of August it eases on and off and it goes away when I go to sleep soon as I wake up it bothers me again.. I'm under major stress For quite a long time I had chronic reactive epstein-barr last October my Titers were 600... I have thyroid hypothyroid they say CFS and anxiety and panic disorder... I've been in pain in my pelvic/legs lower back Chronic when my mother was dying 7 months in my pelvic cramping achy around my lower back and legs/ 7 months when she died it disappeared ever so often I feel it and 15 years ago I found out I had Eptein barr from the pain under my right rib moved around a lot I was exhausted felt inflammation at times... after my died symptoms finally went away.15 yrs ago ithat cones back every now and than.. I had an ultrasound on my abdomen last October everything was fine other than a small cyst on my left I think kidney... they took all my blood work and liver enzymes everything came out fine last October I think my other doctor took it all in February I'm not sure she if she.did liver or not she took a CBC... I noticed yesterday when I went to the bathroom and today my feces had to white specks in it yesterday and today more white specks on the surface but when I checked the inside there's nothing inside white specks came off once I moved the feces in the bowl ...I'm getting worried there's something wrong with my liver I had three FOBT and fit: within the last 9 months they all came out negative I'm 54 I never had a colonoscopy yet I don't see any blood in my stool the stool is brown I'm worried about liver tumors .... does rinache is everyday since end of August 30th ... I don't smoke I don't drink I try to eat right my parents didn't have colon cancer my mother had diverticulitis and my brother my grandma have: cancer at the age of 72 I'm worried there's something wrong with my liver where are these white specks coming from there are only on the surface and when I move it they go away my email I do not use thank you

Answered by Dr. Prasanna Heijebu (5 hours later)

Brief Answer:
Symptoms due to mutiple medical comorbidities

Detailed Answer:
Hello, Madam.

I can certainly understand your concerns.

I have gone through your query in detail.

The symptoms in your case are related to reactivation of EBV.

This is admixed with symptoms of anxiety/panic states and hypothyroidism.

To evaluate the white specs in the stool, I advise you to get a complete stool microscopic examination and a fecal fat estimation test.

This is done to look for any malabsorption.

The association of white specs with liver tumor or diverticulitis is highly unlikely.

Since your FOBT, liver enzymes are normal, this can be reasonably ruled out.

For accurate confirmation, I advise you to have a HRCT scan of the abdomen in case of any doubt.

Post your further queries if any.
Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T