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How can icy or warm sensations under the ribs be managed?

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

Patient's Query

Hi doctor,

It feels like a warm, almost icy, or hot sensation under my ribs on the left side that comes and goes. Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I can understand your concern.

A warm, burning, or alternating icy-hot sensation under the left ribs that comes and goes is most often related to nerve or muscle irritation, rather than a problem with an internal organ. This type of sensation is commonly described with intercostal nerve irritation, muscle strain, posture-related tension, or referred pain from the thoracic spine. It can also occur with acid reflux or gastritis, where stomach irritation causes a burning or warm feeling beneath the ribs, especially after meals or when lying down.

Less commonly, shingles can begin with a burning or tingling sensation before a rash appears, so it is important to watch for any skin changes in that area over the next few days. Because the sensation is intermittent and not associated with severe pain, shortness of breath, chest pressure, fever, or persistent worsening, it is less suggestive of a serious condition involving the heart, lungs, or spleen. For now, pay attention to triggers such as posture, prolonged sitting, twisting movements, stress, or meals. Gentle stretching, good posture, avoiding heavy lifting, and using heat or mild analgesics may help. However, if the sensation becomes constant, severe, spreads to the chest or arm, is associated with breathlessness, dizziness, vomiting, or if a rash develops, you should seek medical evaluation promptly.

I hope this information will help you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At February 28, 2026
Reviewed AtMarch 4, 2026

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