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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Backache, Vomitting, Sweating, Headaches. Has Lump Under The Rib Cage Which Causes Shooting Pains. What Could It Be?

Hi, my fiancé is having SEVER lower back pain and has been violently vomiting all day. No fever , but sweating and looks very pale. Also, he has a lump under his lower right rib cage that has caused sharp shooting pains down his side at times. He had a saunogram done on the lump and they found nothing. I should also mention that he has sever ice pick headaches on a daily bases. What could this be? I m very worried.
Sat, 8 Dec 2012
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

In view of the low back pain, presence of lump and vomiting, your finace requires detailed evaluation to determine the cause. The most common causes are infective, such as tuberculous or bacterial infection. An MRI scan of the spine (with chest wall) would help in correct diagnosis of the problem.

In the meanwhile, you can use analgesics such as diclofenac or ibuprofen for pain relief, and ondansetron for vomiting.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Lower Backache, Vomitting, Sweating, Headaches. Has Lump Under The Rib Cage Which Causes Shooting Pains. What Could It Be?

Hi, Thank you for posting your query. In view of the low back pain, presence of lump and vomiting, your finace requires detailed evaluation to determine the cause. The most common causes are infective, such as tuberculous or bacterial infection. An MRI scan of the spine (with chest wall) would help in correct diagnosis of the problem. In the meanwhile, you can use analgesics such as diclofenac or ibuprofen for pain relief, and ondansetron for vomiting. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist