HomeAnswersInternal Medicinechest painHow to get rid of pain under the rib cage?

Please help with my pain under my rib cage.

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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.

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Published At July 19, 2016
Reviewed AtDecember 25, 2023

Patient's Query

Hi doctor,

I am 25 years old. My weight is 53 kg and height is 5.3. From yesterday afternoon, I have some pain under my rib cage. Please check the reference image. I can breathe easily, but it is paining when I am breathing heavy. It has also pained when I laugh, cough and puke. Please help me with this. Recently, I took a thyroid test. I do not know of it is useful, but I am attaching it. Thank you.

Answered by Dr. Sadaf Mustafa

Hello,

Welcome to icliniq.com. Is the pain located on the right lower side or left lower side of the rib cage? It's important to determine this as different organs are situated in these areas, and the treatment approach may vary. Please let me know if you are experiencing cough, fever, chills, diarrhea, nausea, vomiting, yellowing of the eyes, or any change in the color of your stools. Also, is the pain localized or does it travel to the other side or to the back? Have you had any recent surgery, falls, or hits to your chest? If you have any past medical history or medications that you would like to share, please provide those details as well.

Patient's Query

Thank you doctor,

It is on the right side just below the chest. Please see the attached pictures. I do not have a cough, fever or anything. Everything is normal. I have checked the temperature and it is 98 degrees Fahrenheit. Pain is at the same place only on the right side. I did not have any surgeries in my life. I did not fall or nothing hit my chest. After wakeup from yesterday afternoon it started. I do not have any test reports. But, I have tonsillitis and it is not removed. I have a cold now. When I am inhaling heavily, it is paining more.

Answered by Dr. Sadaf Mustafa

Hello,

Welcome back to icliniq.com. It seems like the pain you're experiencing could be originating from your chest and diaphragm or it may be a simple sprain. To further investigate, it would be helpful to get a chest x-ray done as sometimes pneumonia in the right lung can cause pain in the right side of the abdomen. Additionally, if the pain worsens after eating, we may need to consider gallbladder pathology. If the chest x-ray results are normal, an ultrasound of the abdomen would be recommended. In the meantime, for pain relief, I suggest taking Diclofenac sodium 50 mg twice daily. However, it is important to consult your doctor, discuss with them, and take the medicine with their consent.

Patient's Query

Thank you doctor,

I am attaching my chest x-ray report. Kindly check.

Answered by Dr. Sadaf Mustafa

Hello,

Welcome back to icliniq.com. Thank you for following the recommendations. Based on the normal chest x-ray results, it appears that the source of the pain may be related to the liver or gallbladder. To further investigate this, I recommend getting an ultrasound of the abdomen while fasting. Remember to fast for 12 hours before the test. Additionally, please inform us if you have noticed any association of the pain with food.

Patient's Query

Thank you doctor,

I contacted my local doctor. He did an ECG and said everything is fine and prescribed some medicine. After using this medicine for five days if still I have a problem, then they will do an ultrasound.

Answered by Dr. Sadaf Mustafa

Hello,

Welcome back to icliniq.com. I think it should be fine to proceed with the suggested course of action. Thank you for keeping me updated on your progress. Wishing you a speedy recovery.

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

Dr. Sadaf Mustafa
Dr. Sadaf Mustafa

Internal Medicine

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