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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Dull And Harsh Pain Under Lower Rib Cage?

Ive had a dull sometime very harsh pain under my right side lower rib cage for over a year now. When I lean to the left my entire right side hurts. I am very uncomfortable sleeping at night and have to switch sides often. The pain has not gotten worse but can hurt more after meals to the point of needing pain meds. I had a cat scan, ultrasound, blood work, and there is no evidence of gall stones or other obstructions. I recently had an upper and lower GI and everything looked good. I try to say active with my boys but this can be so aggrivating I just rest.. Please help so I can feel well again. Thank you
Mon, 29 Feb 2016
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General Surgeon 's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your query health issues.
I understood your health concerns and feel Concerned about them.

Based on the facts of your query, you seem to suffer from-
Treitz Syndrome with Costo-Chondritis-
Ascending Colitis with hepatic flexure Colitis due to Chronic Amebiasis/Tb Abdomen with Right hemicolon / abdomen / Renal infections / Renal Stone
GERD with Acid Reflux.
All these possibilities need to be verified in your case

Remedy and Do's-
Check with Chest Surgeon or Orthopedic Surgeon and fix if Teitz Syndrome is the cause in your case, which is of high possibility. He would reassess the cause of chronic harsh pain under right rib cage.He would plan needful treatment which is possible only with meticulous followup from YOU only.
-Treat-
with Inj-Kenacort at the painful points
with NSAIDs
and Local Voltaren gel /
hot fomentation /
Infra red fomentation x 2 weeks would resolve your pain under lower rib cage.

-Other causes need to be verified as the facts may be different what you submitted.

-For this Second opinion from Chest/ or Ortho Surgeon is needed who would do proper investigation after proper physical assessment to resolve your health issues.

-for early recovery-please follow above do's which would resolve your issues.

Hope this would help you to treat your health issues in the best way possible.

Welcome for any further query in this regard.
Good Day!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Could Cause Dull And Harsh Pain Under Lower Rib Cage?

Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Treitz Syndrome with Costo-Chondritis- Ascending Colitis with hepatic flexure Colitis due to Chronic Amebiasis/Tb Abdomen with Right hemicolon / abdomen / Renal infections / Renal Stone GERD with Acid Reflux. All these possibilities need to be verified in your case Remedy and Do s- Check with Chest Surgeon or Orthopedic Surgeon and fix if Teitz Syndrome is the cause in your case, which is of high possibility. He would reassess the cause of chronic harsh pain under right rib cage.He would plan needful treatment which is possible only with meticulous followup from YOU only. -Treat- with Inj-Kenacort at the painful points with NSAIDs and Local Voltaren gel / hot fomentation / Infra red fomentation x 2 weeks would resolve your pain under lower rib cage. -Other causes need to be verified as the facts may be different what you submitted. -For this Second opinion from Chest/ or Ortho Surgeon is needed who would do proper investigation after proper physical assessment to resolve your health issues. -for early recovery-please follow above do s which would resolve your issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS