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How can I manage pain in ribs with breathing difficulty after a fall?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I slipped, fell and landed on my side four days ago and have been in a lot of pain since then, around my ribs on the left side. The pain has not lessened, sometimes feels worse. It hurts when I breathe so I have to take shallow breaths. I know that X-rays will not do much and I realize that not much can really be done at all. So my question is what can I do to help the healing process or if there is anything I should not be doing. I have been going to work and avoiding heavy lifting. I cannot really afford to take more than a few days off. Would it slow the process of healing if I continue to go to work but avoid heavy lifting and any strenuous activity?

Answered by Dr. Pooja Pardhi

Education:

MBBS

Professional Bio:

Dr. Pooja Pardhi is a General Physician and General Practitioner for 15 years. She completed MBBS from Government Medical College, Nagpur, in 2009 . She is also an expert in Internal Medicine. She consults patients at home, monitoring patients' conditions and wellbeing. She diagnoses and treats illnesses or ailments, does minor surgeries, and carries out tests to diagnose the condition. She is currently practicing in Mumbai.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have thoroughly gone through your case and can well understand your genuine health concern. Severe pain in the ribs and breathing difficulty after a fall indicates some injury to the ribs. Even a minor fracture of the ribs can cause severe pain and breathing difficulty. Sometimes, severe muscular spasm following a fall can also cause such symptoms. So you need a proper physical examination. As you mentioned that you fell on the left side and having severe pain and breathing difficulty also, I suggest you get an X-ray done and consult an orthopedician. It is true that X-ray will not help much but you can get it done to make sure that there is no rib fracture. For minor rib fracture, only conservative management should be done. You need to take rest, avoid excessive spine movements, avoid sleeping on left side, avoid lifting heavy weights. In my opinion, you should take rest and avoid working for a few days. I would suggest you take some oral anti-inflammatory drug in combination with muscle relaxant drug twice daily for about five days. You can also apply some analgesic cream or ointment twice daily. Also, apply hot water bag over the painful area for 20 minutes thrice daily for pain relief. I hope this helps. Thank you and take care. Regards.

The Probable causes

The probable cause is rib fracture or muscular spasm.

Investigations to be done

Investigations to be done are X-ray thoracic spine- AP (anteroposterior) and lateral.
Medically reviewed by iCliniq medical review team
Published At March 11, 2016
Reviewed At April 26, 2024

Education:

MBBS

Professional Bio:

Dr. Pooja Pardhi is a General Physician and General Practitioner for 15 years. She completed MBBS from Government Medical College, Nagpur, in 2009 . She is also an expert in Internal Medicine. She consults patients at home, monitoring patients' conditions and wellbeing. She diagnoses and treats illnesses or ailments, does minor surgeries, and carries out tests to diagnose the condition. She is currently practicing in Mumbai.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Pooja Pardhi is a General Physician and General Practitioner for 15 years. She completed MBBS from Government Medical College, Nagpur, in 2009 . She is also an expert in Internal Medicine. She consults patients at home, monitoring patients' conditions and wellbeing. She diagnoses and treats illnesses or ailments, does minor surgeries, and carries out tests to diagnose the condition. She is currently practicing in Mumbai.

This doctor is not available for online consultations on the platform anymore.

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