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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant Cramps Under Rib Cage That Eases On Lying And Appear Mainly Post Dinner. Gastroscopy Normal. Cause Of Issue?

Hello Doctor,
I have felt cramps for many years on the left tummy right under the rib cage. When I eat too late, that part cramps too. After I lay down on the left side, the cramp is eased off and finally disappear.
In the last half year, the cramps become more intense and happen everyday mainly after dinner at 7pm and before going to bed at 12am.
Right now, my tummy has lots of gas and sound. When it cramps too much I have to lie down on the left to relief the pain.
Today's I have had gastroscopy and the doctor said it is normal.
What can be the problem?

Y.S.Shae
posted on Mon, 8 Apr 2013
Twitter Fri, 5 Jul 2013 Answered on
Twitter Sat, 6 Jul 2013 Last reviewed on
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Gastroenterologist,  's  Response
Hello, thanks for contacting HCM.
I am glad that the endoscopy was normal. I am
assuming it did not show any hiatus hernia, ulcers etc.
From your description and the fact that the pain gets better
when you turn to your left and laying down , it is related
to gas trapped in the stomach. When it escapes after entering
the intestine , the pressure is relieved and the pain under the
rib cage disappears. Make sure you drink enough liquids.
Try to avoid gassy vegetables such as cabbage , cauliflower etc.
Peppermint oil capsules are also helpful in reducing gas.
Wish you well.
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Constant Cramps Under Rib Cage That Eases On Lying And Appear Mainly Post Dinner. Gastroscopy Normal. Cause Of Issue?

Hello, thanks for contacting HCM. I am glad that the endoscopy was normal. I am assuming it did not show any hiatus hernia, ulcers etc. From your description and the fact that the pain gets better when you turn to your left and laying down , it is related to gas trapped in the stomach. When it escapes after entering the intestine , the pressure is relieved and the pain under the rib cage disappears. Make sure you drink enough liquids. Try to avoid gassy vegetables such as cabbage , cauliflower etc. Peppermint oil capsules are also helpful in reducing gas. Wish you well.