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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Lump Near Rib Cage Along With Abdominal Pain?

I am a 19 year old female, I have what appears to be a bump below my rib cage that has been there for quite awhile. I occasionally have some abdominal pain when I am sitting for a long period of time but other than that it doesn t hurt. I also occasionaly spit up blood and am currently blowing blood out of my nose along with mucus. I do currently have a little bit of a bug going around but I am starting to worry that the lump and these symptoms are related. Should I be worried?
posted on Wed, 7 Jan 2015
Twitter Fri, 20 Feb 2015 Answered on
Twitter Mon, 23 Feb 2015 Last reviewed on
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General Surgeon,  's  Response
Hi.
Thanks for your query.
You have two different problems as per the history.
1. The lump below the rib cage, which causes pain on long sitting can be costo-chondritis.
2. The blood in the spit and the nose is a local problem. This can be due to the following factors:
-Nasal infection
-Nasal mass

I would advise you the following:
Since nasal bleeding is a specialized problem you have to consult an ENT Surgeon for ENT endoscopy to decide the cause.
He may also examine the lump below the rib to confirm whether this is costo-chondritis or not on your request and can tell you whom to see further.

The treatment will be obviously as per the causes.
It may be Local decongestant and antibiotic for the nasal bleeding, cauterization or packing and then the investigations like CT scan and all and treatment as per the findings.

The lump at the rib cage may need just an anti-inflammatory medicines and local rubrafacients.
X-ray and ultrasonography may help to find or rule out the causes and gives a plan for a treatment
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What Causes A Lump Near Rib Cage Along With Abdominal Pain?

Hi. Thanks for your query. You have two different problems as per the history. 1. The lump below the rib cage, which causes pain on long sitting can be costo-chondritis. 2. The blood in the spit and the nose is a local problem. This can be due to the following factors: -Nasal infection -Nasal mass I would advise you the following: Since nasal bleeding is a specialized problem you have to consult an ENT Surgeon for ENT endoscopy to decide the cause. He may also examine the lump below the rib to confirm whether this is costo-chondritis or not on your request and can tell you whom to see further. The treatment will be obviously as per the causes. It may be Local decongestant and antibiotic for the nasal bleeding, cauterization or packing and then the investigations like CT scan and all and treatment as per the findings. The lump at the rib cage may need just an anti-inflammatory medicines and local rubrafacients. X-ray and ultrasonography may help to find or rule out the causes and gives a plan for a treatment