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Suggest Treatment For Pain In Ribs

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Posted on Mon, 8 Dec 2014
Question: Hi I had yestetday very high pain in left side second last rib below left breast. I went to docton and done my checkup and given painkiller injection. Then they do testing of ultrasound and xray. In ultrasound it comes that my size of liver ia large 18.5 cm. Doctor say that the pain was due to this. But I am not satisfied when liver ia in right side why pain is in left side, and pain is so high that even I am taking breath then it is having pain
doctor
Answered by Dr. Nishad BN (1 hour later)
Brief Answer:
Most likely costochondritis.

Detailed Answer:
Hi
Thank you for asking Health care magic forum.

I have gone through your query.If you have pain on left side below left breast and pain present while palpation it is most likely costochondritis.A Chest X ray also should be taken to rule out any problem with lungs or pleura or heart.Ecg if not taken, you should take also.
Liver size of 18.5 is enlargement but ultrasound alone cant give an exact impression.A CT or MRI should be done to rule out the exact problem.Liver function tests should be carried out to rule out any liver failure or decreased function.The enlargement can be due to fluid filled pouch or cysts also.
For costochondritis i treat with anti inflammatory gels like diclofenac or nimusulide for local application.I also give diclofenac or nimusulide as oral tablets also if pain is more.If no improvement then i advise local injection of corticosteroids.
Hope this may help you.Let me know if anything not clear.
Thanks.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5482 Questions

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Suggest Treatment For Pain In Ribs

Brief Answer: Most likely costochondritis. Detailed Answer: Hi Thank you for asking Health care magic forum. I have gone through your query.If you have pain on left side below left breast and pain present while palpation it is most likely costochondritis.A Chest X ray also should be taken to rule out any problem with lungs or pleura or heart.Ecg if not taken, you should take also. Liver size of 18.5 is enlargement but ultrasound alone cant give an exact impression.A CT or MRI should be done to rule out the exact problem.Liver function tests should be carried out to rule out any liver failure or decreased function.The enlargement can be due to fluid filled pouch or cysts also. For costochondritis i treat with anti inflammatory gels like diclofenac or nimusulide for local application.I also give diclofenac or nimusulide as oral tablets also if pain is more.If no improvement then i advise local injection of corticosteroids. Hope this may help you.Let me know if anything not clear. Thanks.