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What Does Constant Pain In The Ribcage On The Right Side Indicate?
I have a dull constant ache in my right back side rib cage area making it very hard to get comfortable in any position when I try to sleep, started about a week ago and will subside during the day while at work but flares up once I get home about 5 pm, drank alcohol yesterday to get some relief and it worked but came back tonight. I first noticed the pain after I went to the movies and ate popcorn and a slurpie
Tue, 24 Apr 2018
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Since I am unable to deduce your Age/Sex and without being able to examine you directly or take a good history, I'm of the following opinion:
1. At present, all I can say is that it might be a 'gastrointestinal' symptom thus you should contact a general surgeon [to exclude appendicitis].
2. In Females, consult a Gynecologist for any underlying pathologies like endometriosis, uterine fibroids or pelvic inflammatory disease [PID]. If after pelvic examination, the doctor suspects an underlying condition, she may order further investigations like MRI, CT, hysteroscopy, laparoscopy since surgery may be needed to remove the abnormal tissue [if any].
3. As the pain is on the right side, ask for ultrasonography of HBR [hepatobiliary region] for Amoebic liver abscess and Cholecystitis.
PS: Pain could be a pleural pathology. [ask for chest x-ray to exclude pleuritis, pleural effusion].
4. Consult a chest specialist who will go for systemic examination and if any chest signs are present, the doctor will ask for imaging scans of chest with Hb%, WBC, ESR and then will provide proper management [as they can ask more detailed questions on associated symptoms].
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Munish Sood
I have reviewed your query and here is my advice.
Since I am unable to deduce your Age/Sex and without being able to examine you directly or take a good history, I'm of the following opinion:
1. At present, all I can say is that it might be a 'gastrointestinal' symptom thus you should contact a general surgeon [to exclude appendicitis].
2. In Females, consult a Gynecologist for any underlying pathologies like endometriosis, uterine fibroids or pelvic inflammatory disease [PID]. If after pelvic examination, the doctor suspects an underlying condition, she may order further investigations like MRI, CT, hysteroscopy, laparoscopy since surgery may be needed to remove the abnormal tissue [if any].
3. As the pain is on the right side, ask for ultrasonography of HBR [hepatobiliary region] for Amoebic liver abscess and Cholecystitis.
PS: Pain could be a pleural pathology. [ask for chest x-ray to exclude pleuritis, pleural effusion].
4. Consult a chest specialist who will go for systemic examination and if any chest signs are present, the doctor will ask for imaging scans of chest with Hb%, WBC, ESR and then will provide proper management [as they can ask more detailed questions on associated symptoms].
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Munish Sood
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