I have been having severe left middle rib pain for about a month and now it is always hurting. I had an upper endoscopy, colonoscopy, left kidney CT scan, gallbladder ultrasound, blood work, and HIDA scan and found nothing, but I have a torturous colon. The pain gets pretty bad and I am worried it is something more serious, but I try reassuring myself that it is not since I have had so many tests. What could this be?! Should I be worrying so much?
Welcome to icliniq.com.
From your history, it seems to be an inflammation of one or more of the cartilages that connect the ribs to the breastbone. It is a condition called Tietze syndrome (when there is a swelling over the painful area) or costochondritis (no swelling, only pain). This condition has no known cause although many theories do exist (none proved). The main features are local pain, with or without swelling. It generally resolves in 12 weeks. However, it would be best if you can get a chest x-ray and an ECG (electrocardiogram) to rule out a rib fracture and a heart condition (angina) respectively.
1. Take tablet Asprin 325 mg SOS (whenever you feel pain) up to a maximum of eight tablets a day.
2. Tablet Ranitidine 75 mg once a day. Whenever you take aspirin it reduces the stomach irritation caused by aspirin.
3. Locally apply Diclofenac gel thrice daily.
Chest x-ray PA (posteroanterior) view, ECG (electrocardiogram).Differential diagnosis:
Angina, rib fracture.Probable diagnosis:
Tietze syndrome, costochondritis.Treatment plan:
Oral analgesics for two weeks, hot fomentation, local application of the analgesic gel.Preventive measures:
Avoid weight-bearing over shoulders or chest, chest exercises or external impact over the area involved.Regarding follow up:
Review with a doctor after your ECG and chest x-ray is done.
Was this answer helpful?|
Query: Hello doctor, I have pressure at the top of my abdomen, under my rib cage. It is not painful. It feels like there is something extra in there or there is someone pressing out against my ribs. CT scan was normal. Would it show enlarged organs? Does this sound like a problem? Should I be worried abou... Read Full »
Query: Hello doctor, I am a 22 year old male. For the past two days, I am getting a normal pain on the left side of the heart. Previously, I had the same experience, but since two days I am getting pain continuously while I am breathing. Please suggest a medicine. Read Full »
Query: Hello doctor, I am having constant eye floaters, low back and hip pain, also my rib cage hurts. I feel depressed and anxious like never before. I cannot sleep at night. MRI of brain shows tiny flair. Radiologists are saying that it is nothing to worry about. What should I do? Read Full »
Ask your health query to a doctor online?Ask a General Surgeon Now