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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Pain Under The Rib Cage Indicate?

I have been having pain under my right rib cage and near appendix for almost three years ; tried some medicines eg clone retard,, pantaacid with no significant improvement. Now dr has prescribed normaxine for fifteen days and a stool test. Stool is brown, semi formed,, has mucous,no blood,acidic,6-8/jpg pus cells, 1-2 race, no ova or cyst,, presence obacteria and yeast cell.. What is to be done Next? & what is the problem
Mon, 13 Nov 2017
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Ayurveda Specialist,  's  Response
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Thanks for contacting with your health concern

1. Thanks for contacting with your health concern

1. since the symptoms are there for almost 3 years thus I do recommend following symptomwise approach:

i. In absence of injury, pain could be a pleural pathology. [ask for chest X-ray to exclude pleuritis, pleural effusion]

ii. As the pain is on the right side, in addition to x-ray, ask for ultrasonography of HBR [hepatobiliary region] for Amoebic liver abscess and Cholecystitis.

iii. Consult a chest specialist who will go for systemic examination and if any chest signs are present 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]

PS. other possibilities which can be excluded at the time of examination are an old fracture of rib, costochondritis, muscle sprain, inflammatory bowel disorder, chronic appendicitis.

iv. Although most of the times, pain may be the result of minor injury or postural changes, however sometimes there may be an underlying medical condition/situation which needs appropriate treatment.
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What Does Pain Under The Rib Cage Indicate?

** Thanks for contacting with your health concern 1. Thanks for contacting with your health concern 1. since the symptoms are there for almost 3 years thus I do recommend following symptomwise approach: i. In absence of injury, pain could be a pleural pathology. [ask for chest X-ray to exclude pleuritis, pleural effusion] ii. As the pain is on the right side, in addition to x-ray, ask for ultrasonography of HBR [hepatobiliary region] for Amoebic liver abscess and Cholecystitis. iii. Consult a chest specialist who will go for systemic examination and if any chest signs are present 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] PS. other possibilities which can be excluded at the time of examination are an old fracture of rib, costochondritis, muscle sprain, inflammatory bowel disorder, chronic appendicitis. iv. Although most of the times, pain may be the result of minor injury or postural changes, however sometimes there may be an underlying medical condition/situation which needs appropriate treatment.