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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Right Abdomen Below The Rib Cage?

hoping someone can help, i am suffering from right sided abdominal pain just below my ribcage for the last 4 days. there is a constant aching there but does increase to sharp pains every now and then, these do not seem to coincide with any activities. 10 years ago i contracted a severe case of tick bite fever whilst living in south africa, and 'heard' there may be long term effect of this, that are agrivated by stress, that may cause problems, likewise i returned from holiday in a malaria zone 6 weeks ago, however i followed protocol with my anti-malarials. any ideas?
posted on Thu, 13 Mar 2014
Twitter Wed, 5 Nov 2014 Answered on
Twitter Thu, 6 Nov 2014 Last reviewed on
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General Surgeon,  's  Response
HI.
The pain in the right side of the abdomen below the rib cage, for 4 days, which is constant aching but with periodic ups and downs is suggestive of Cholecystis meaning inflamation of the gallbladder. Other probable causes can be abscess of the liver or ulcers in the duodenum and so on.
This may not be related to the tic bites you had. Malaria causing pain in abdomen is called algid malaria and the pain is all over and very severe.
I would suggest you to undergo an ultrasonography first and then the other blood tests including liver function tests, CBC to know the infection and all relevant blood tests.
Start the treatment with antibiotics and as per the findings on investigations .
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What Causes Pain In Right Abdomen Below The Rib Cage?

HI. The pain in the right side of the abdomen below the rib cage, for 4 days, which is constant aching but with periodic ups and downs is suggestive of Cholecystis meaning inflamation of the gallbladder. Other probable causes can be abscess of the liver or ulcers in the duodenum and so on. This may not be related to the tic bites you had. Malaria causing pain in abdomen is called algid malaria and the pain is all over and very severe. I would suggest you to undergo an ultrasonography first and then the other blood tests including liver function tests, CBC to know the infection and all relevant blood tests. Start the treatment with antibiotics and as per the findings on investigations .