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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heaviness In Right Upper Abdomen And Right Flank Pain?

I am a 50 year African woman still menstruating. I started having this heaviness in my upper right abdomen just under the ribs about 6 months ago. It is on and off especially after a meal. I also feel some pain there and on my right flank when i take a deep breath or move my body. My right ribs are sometimes tender when i press them especially the last one. I am so worried about what it can be. I carried out some blood tests which came back okay except for the ESR which was high (50). I did a CT of the abdomen which was okay except for multiple liver cysts. What do you think?
Fri, 19 Dec 2014
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history.

This is so much suggestive of a condition called costo-chondritis., although the reason here is known to be a trauma.
I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis.
I would suggest the following treatment.
-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.
-Anti-inflammatory medicines in full dose as per the weight.
-Steroids if required for its strong anti-inflammatory role.
-Lasix to reduced the edema.
This sort of a treatment helps all my patients. and should help you too.
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What Causes Heaviness In Right Upper Abdomen And Right Flank Pain?

Hi. Thanks for your query and an elucidate history. This is so much suggestive of a condition called costo-chondritis., although the reason here is known to be a trauma. I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis. I would suggest the following treatment. -Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur. -Anti-inflammatory medicines in full dose as per the weight. -Steroids if required for its strong anti-inflammatory role. -Lasix to reduced the edema. This sort of a treatment helps all my patients. and should help you too.