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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain On/off Under Lower Rib?

Ive had this pain that comes & goes under my lower left rib. It sometimes expands to the back of my rib cage but not all the way to my spine. It not only hurts there but also the length of three fingers under the rib on the same left side. I am a female, 27 years old. Usualky the pain goes away after a few minutes. But today ive had the pain for an hour & it hasnt gone away. I think im going to sleep it off tonight. Im sure the pain will be gone by tommorrow. But what can this pain be caused by?! Can u please answer my question. .
Mon, 18 Aug 2014
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello,
Thanks for your query.

Firstly the pain under the left side of the rib cage may be due to Gastritis(Inflammation of the stomach). I advise would be to avoid spicy and greasy food. Prescribe proton pump inhibitors like omeprazole. A gastroscopy will help in the diagnosis.

Secondly it may be due to pancreatitis(Inflammation of pancreas). Stop smoking and alcohol if any. Blood tests like serum amylase and lipase will help in the diagnosis.

Thirdly kidney stones. X ray of the KUB will help in the diagnosis. Antispasmodic for pain. Increased intake of water is advised. The size and site of the stone determines whether the treatment is medical or surgical.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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What Causes Pain On/off Under Lower Rib?

Hello, Thanks for your query. Firstly the pain under the left side of the rib cage may be due to Gastritis(Inflammation of the stomach). I advise would be to avoid spicy and greasy food. Prescribe proton pump inhibitors like omeprazole. A gastroscopy will help in the diagnosis. Secondly it may be due to pancreatitis(Inflammation of pancreas). Stop smoking and alcohol if any. Blood tests like serum amylase and lipase will help in the diagnosis. Thirdly kidney stones. X ray of the KUB will help in the diagnosis. Antispasmodic for pain. Increased intake of water is advised. The size and site of the stone determines whether the treatment is medical or surgical. I do hope that you have found something helpful and I will be glad to answer any further query. Take care