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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Lower Rib Cage Pain

Hi 3 weeks ago I experienced a weird painful pain under my lower left rib which gradually spread across my abdominal area. The pain felt like the inside of my stomach was burning and not like a heart burn type a burn but the pain was intense. It then went down to my lower right side. It was at this point I was admitted to hospital on suspected appendix. After X-Rays, scans multiple bloods and stool taken everything came back clear. 3 weeks on and the pain is still constant and forces me to sleep it off. I am on medication but does not seem to be working. My bowel movements are totally different to what they use to be and have a fowl odour at times and also an acid odour. I have another stool sample to do in a weeks time as blood was in last stool sample. Any help would be greatly appreciated
Thu, 31 Mar 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

thanks for sharing a brief history. having pain in the left side upper abdomen can not be appendix for sure and suspecting it as appendix?? pain in the upper left abdomen can be a blunt abdominal injury or a spleen issue. well since you were on a medication the stool you are passing has such odour. I think that should be the case which made you feel the blood in the stool. gastritis is also one of the cause for the left upper chondrium pain. Now what I feel is you may have a catch of the muscle in the left upper hypochondrium. Since you have mentioned that the reports came out clear.
screening with the diagnostic ultrasound may reveal any systemic issue if related to any organ can be identified. even if this turns normal than it will be a muscle catch. You can try doing some diaphragmatic breathing exercises and abdominal breathing exercises by placing the hand over the area to strengthen the muscle. Also you can do some straight leg raise by placing hand over the painful area. Also you need to stay in constant touch with you gastroenterologist as to figure out if something related to gastritis is there. because when all reports are normal than a sudden pain can not be possible of the systemic illness. it can be muscular as well. have a discussion with a gastroenterologist and I am sure a proper diagnosis can come closer with diagnostic ultrasound imaging technique.

with the grace of God I wish you a speedy recovery.
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Suggest Treatment For Severe Lower Rib Cage Pain

hi, thanks for sharing a brief history. having pain in the left side upper abdomen can not be appendix for sure and suspecting it as appendix?? pain in the upper left abdomen can be a blunt abdominal injury or a spleen issue. well since you were on a medication the stool you are passing has such odour. I think that should be the case which made you feel the blood in the stool. gastritis is also one of the cause for the left upper chondrium pain. Now what I feel is you may have a catch of the muscle in the left upper hypochondrium. Since you have mentioned that the reports came out clear. screening with the diagnostic ultrasound may reveal any systemic issue if related to any organ can be identified. even if this turns normal than it will be a muscle catch. You can try doing some diaphragmatic breathing exercises and abdominal breathing exercises by placing the hand over the area to strengthen the muscle. Also you can do some straight leg raise by placing hand over the painful area. Also you need to stay in constant touch with you gastroenterologist as to figure out if something related to gastritis is there. because when all reports are normal than a sudden pain can not be possible of the systemic illness. it can be muscular as well. have a discussion with a gastroenterologist and I am sure a proper diagnosis can come closer with diagnostic ultrasound imaging technique. with the grace of God I wish you a speedy recovery.