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Suggest Treatment For Severe Pain Under The Rib Cage, Constipation And Fatigue

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Posted on Mon, 4 Jul 2016
Question: I have occassional severe pain under my rib cage on right (starboard) side of my body. It will move laterally sometimes and can last for several days off and on. I cannot associate it with any particular foods or meds/supplements that I eat or take. Sometimes, it seems to be associated with mild constipation, but not always (chicken and egg - what's the cause and what's the effect). I have been experiencing this occassional condition for over ten years (maybe twice a year). Additionally, dizziness and fatigue are also symptoms I experience when this condition.
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Answered by Dr. Tayyab Malik (2 hours later)
Brief Answer:
Hi Mr XXXXXXX I am Dr Malik - Gastroenterology Specialist.

Detailed Answer:
Thank you for posting query@@HCM.
Your presentation maybe divided into three parts and would be entertained accordingly.1. Pain under rib 2. constipation 3. Fatigue (alongwith dizziness)

1. Pain under the rib. (right): the pain may most likely be related to "Liver" and/or "gall bladder" pathology. Therefore , you are advised to get the following tests done and thereafter visit gastroenterologist/hepatologist OR your treating physician.
a. Liver function test b. Ultrasound Abdomen.

2.&3. Constipation and Fatigue maybe Interrelated symptoms. Since your age is more than 55 and your experiencing these symptoms since a considerable time, i would advice you to visit a Gastroenterologist to examine your Intestine through a endoscope. This procedure is done to rule out any chronic diseases, inflammatory diseases, polyps, malignancy and any pathology of the intestine architecture.
Occasionally,a lesion in the gastrointestinal which maybe bleeding and may eventually lead to anemia(Low hemoglobin level in blood). Low hemoglobin levels may lead to fatigue. Therefore, your advised to test for:
a. Complete blood cell test b. Erythrocyte Sedimentation Rate

Further advice ( as prevention is better than Cure)
- avoid beverages / alcohol/ soft drinks and avoid fat/ oily food until liver tests and ultrasound results awaited
- ispagula with water to combat constipation
-warm water intake as much as possible
- eat small meals (rich in fiber)
-eat plentiful "fresh oranges" and "pear "
- avoid COLD milk and yogurt and AVOID junk food(NO burger , pizza) altogether

Results of all aforementioned tests maybe posted here.
hope to answer your queries.
any further questions are welcomed.

Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .
wish you good health.
regards,
Dr Malik
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Tayyab Malik

Gastroenterologist

Practicing since :2009

Answered : 819 Questions

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Suggest Treatment For Severe Pain Under The Rib Cage, Constipation And Fatigue

Brief Answer: Hi Mr XXXXXXX I am Dr Malik - Gastroenterology Specialist. Detailed Answer: Thank you for posting query@@HCM. Your presentation maybe divided into three parts and would be entertained accordingly.1. Pain under rib 2. constipation 3. Fatigue (alongwith dizziness) 1. Pain under the rib. (right): the pain may most likely be related to "Liver" and/or "gall bladder" pathology. Therefore , you are advised to get the following tests done and thereafter visit gastroenterologist/hepatologist OR your treating physician. a. Liver function test b. Ultrasound Abdomen. 2.&3. Constipation and Fatigue maybe Interrelated symptoms. Since your age is more than 55 and your experiencing these symptoms since a considerable time, i would advice you to visit a Gastroenterologist to examine your Intestine through a endoscope. This procedure is done to rule out any chronic diseases, inflammatory diseases, polyps, malignancy and any pathology of the intestine architecture. Occasionally,a lesion in the gastrointestinal which maybe bleeding and may eventually lead to anemia(Low hemoglobin level in blood). Low hemoglobin levels may lead to fatigue. Therefore, your advised to test for: a. Complete blood cell test b. Erythrocyte Sedimentation Rate Further advice ( as prevention is better than Cure) - avoid beverages / alcohol/ soft drinks and avoid fat/ oily food until liver tests and ultrasound results awaited - ispagula with water to combat constipation -warm water intake as much as possible - eat small meals (rich in fiber) -eat plentiful "fresh oranges" and "pear " - avoid COLD milk and yogurt and AVOID junk food(NO burger , pizza) altogether Results of all aforementioned tests maybe posted here. hope to answer your queries. any further questions are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited . wish you good health. regards, Dr Malik