HomeAnswersInternal Medicineback painWhat could cause back pain up to rib cage and lower abdominal pain while breathing?

I get back pain up to rib cage while breathing. Is this because of menstruation?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At September 4, 2020
Reviewed AtSeptember 8, 2020

Patient's Query

Hi doctor,

I am a 23-year-old female. My lower back on both sides hurts when I move, and when I breath-in it gives sharp pain. I have tenderness on my right upper back until the rib cage. My lower right abdomen is also tender. I take Sprintec, and with no prior health issues. I am currently menstruating.

Hello,

Welcome to icliniq.com.

Since this episode is recurrent, you should get yourself investigated thoroughly and avoid stop-gap arrangements.

Investigations recommended include

1. Radiological ultrasound - abdomen and pelvis or even better a CT (computerized tomography) scan abdomen and pelvis.

2. Biochemistry - complete blood counts (CBC), urine routine, and culture.

3. Gynecological and urological checkup.

For pain, the following are recommended.

Take tablet Flavoxate 100 mg one tablet thrice daily for three days and Mefenamic acid 250 mg one tablet thrice daily for three days.

However, you may need a local doctor's prescription for the above medicines. Please check with local pharmacy stores nearby. Hence it is most advisable to visit a local gynecologist or a surgeon.

The Probable causes

Ureteric spasm. Urinary infections or calculi. Lumbo-sacral disc prolapse

Investigations to be done

CT scan abdomen and pelvis. CBC.

Treatment plan

Advised for the pain. For optimal treatment, investigations needed.

Regarding follow up

After investigations.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shubadeep Debabrata Sinha
Dr. Shubadeep Debabrata Sinha

Infectious Diseases

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