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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain Under The Rib Cage?

Upper right quadrant pain under ribs after taking Tylenol with codeine. It isn t my ulcer, it feels exactly the same as gall bladder attack pain.. Had it out years ago tho but same exact radiating pain up into right shoulder blade. Don t get it from regular Tylenol or other meds. If it s my liver, then why not the pain from regular Tylenol max dose. Confused..
Mon, 25 May 2015
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Orthopaedic Surgeon 's  Response
Dear patient
Most common cause of pain in right upper quadrant is liver and gallbladder pathology may be stone or liver damage. Tylenol is metabolised in liver and hence pain may be related to its intake. This needs be investigated with 1. Liver enzymes such as AST and ALT levels 2. Ultrasound of abdomen. Please get it done from reputed laboratory. You need to consult gastroenterology specialist with both reports. All the best.
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What Causes Severe Pain Under The Rib Cage?

Dear patient Most common cause of pain in right upper quadrant is liver and gallbladder pathology may be stone or liver damage. Tylenol is metabolised in liver and hence pain may be related to its intake. This needs be investigated with 1. Liver enzymes such as AST and ALT levels 2. Ultrasound of abdomen. Please get it done from reputed laboratory. You need to consult gastroenterology specialist with both reports. All the best.