Hello;

Thanks for your query.

The symptoms you describe are similar to gall bladder pathology and I am glad that you have been investigated thoroughly and all the tests including ultrasound have ruled it out.

Considering the gall bladder is normal on the tests, what I infer after reading your query is that the pain in ribs on right lower side can be due to gastritis and the upper pain may be costochondritis or a muscular pain. As the pain has been quite often and been there since last 2 years, I guess the pain is making you anxious and you are getting stressed. Further Florastor which is a probiotic type of medicine and contains healthy bacteria can cause constipation and gas.

I would suggest you try some proton pump inhibitors like omeprazole (Prilosec OTC) once a day before food for 2-3 weeks. Domperidone that helps in quick emptying of stomach can also be beneficial. Both these drugs are available as over the counter medication at some places.

Anxiety and stress also needs to be managed as they are interfering with your daily life; so here are few things which will help you:-
- Remember you are 24 yrs and you will not easily get any major disease so if you have any thoughts please leave them behind,
- Try to concentrate on your work as it will help you keep your mind away from thoughts of disease,
- Try to relax if there is stress in your life - transcendental meditation, yoga, XXXXXXX breathing exercise, mild to moderate physical exercise can be helpful in reducing the effects of stress.
- Also avoid smoking or drinking if you have any of the habit,
- Do regular exercise as it will tone up your body as well as reduce stress levels.

You can also consider visiting your doctor to control stress with prescription medication. Discuss with your doctor regarding the benefit medications I have advised and get the proper dosage prescribed.

Hope this answer is helpful to you. Let me know if I have missed out on any of your concern.

Take care and Regards

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Hello,

Thanks for writing back.

The first thing is you get severe chest pain on right side where as the heart is on the left side.

Cardiac pain (pain related to heart) is more of a squeezing, suffocating type of pain.

This pain is due to reduction in oxygen supply to the heart muscles.

It will be seen in ECG (Electrocardiogram), also it will not come frequently without complicating.

For treatment I would suggest you to get medicine for stress prescribed by your doctor. Get started on medicine for gastritis as I have suggested and hopefully you should be fine.

When the pain is severe you may take an over the counter medicine like Tylenol.
Lastly the 11th and 12th ribs are known as floating ribs (costae fluitantes) as they do not have any anterior connection to the sternum and are attached to only to the vertebras.

Hope I have answered your concern.

Wishing you good health.

Regards

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