What Causes Dull Pain Under Right Ribs And Diarrhea?

Posted on Tue, 29 Mar 2016

Question: Hi I am having some dull right side pain for the last 2 days - it is in the middle vertically between the front and the back - feels better when I stretch to the left. I have been eating spicy food for the last week, the pain is closer to the rib if I had to pin point it - it is not towards the front. Also i have been having more liquid stools, not sure if its from the international food. Ofherwise no symptoms and running everyday with reasonable water intake daily

Answered by Dr. Mukund Savaskar (1 hour later)

Brief Answer:
Dull pain under right ribs.../ Under Evaluation

Detailed Answer:
Brief Ans-Dull pain under right ribs.../ Under Evaluation

Hi Dear!! Thanks for your query to HCM.
Read and reviewed facts of your query in context of your health concerns.
My Impression-
Mostly from Travellers Diarrhea from spicy International Food
+with Acute Duodenitis with enteritis .
Spicy food loads of last week has lead to Acute duodenitis, which has caused pain in midway under right ribs.

Treatment Plan Suggested-
Consult ER Physician for any prescription drugs.
Avoid Solid foods for 2 days time.
Be on plenty of liquids
with bland rice porridges.
PPI like Pantoprazole 1 x 2 times a day / for 1 week
Tab Imodium- Loperamide from your ER doctor, to control diarrhea and dull pains on right side
Tab Ciplox 500 mg 1 x 2 times a day x 5 days

Hope this would resolve your health issues and would help you to plan further treatment with doctors there.

Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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

Follow up: Dr. Mukund Savaskar (23 hours later)

Hello and thank you. To clarify i do not have diarrhea at all, movement only once per day but more on the liquid side/saw dust, not solid and whole, slightly darker colour. Pain is dull and less and seems to sort of be present towards the front now, feels relief when i sit up tall and stretch. Pain is 1 out of 10, low. Hope that clarifies. My concerns were appendicitis or some sort of blocked colon etc...could it be my liver? Should i plan a detox aftrr my travels to restore gastro health

Thanks kindly XXXXXXX

Answered by Dr. Mukund Savaskar (3 hours later)

Brief Answer:
In Your case,No concern of appendicitis/ blocked colon/or liver either

Detailed Answer:
Brief Ans- In Your case,No concern of appendicitis/ blocked colon/or liver either.

Hi,Dear,Thanks for the updates on your basic query.
Read and reviewed your updated facts in context to your last query.
As submitted by you, its liquid stools with dull pain- and if they are from any cause, in medical terms - its termed as diarrhea.So just neglect, as its not applicable, as rightly updated from you.

Suggestions-
But in any case the treatment remains the same as suggested,which you need to take,as planned above, to avoid more complications from food induced subacute-duodenitis/ enteritis you have.

Suggestions For Detox-
Take Plenty of Fluids and electrolyte supplements for 2-3 days.

Just taking treatment with rest diet for 3 days with liquids and porridges would detoxicate your body of poisons ingested.

Check out for Stool if it persists, to find out other causes as ameba/ giardia, which if present needs further care.

For this you just keep Me updated after 3 days by private and direct question to Me, by My name,by a special note from your side.

Hope this would resolve your health issue related to this query.

Welcome for any further query in this regard.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mukund Savaskar (2 days later)

I was traveling and could not follow the regimen. I started oatmeal and fluids today, Day 1, pain is still there, dull mainly and again feels sore when rubbing right side. Should i give it a few more days of mild food and fluids

Thanks kindly

Answered by Dr. Mukund Savaskar (7 hours later)

Brief Answer:
Restrict to liquid bland helpings for 2-3 days ...!!

Detailed Answer:
Brief Ans-Restrict to liquid bland helpings for 2-3 days ...!!

Hi Dear thanks for your XXXXXXX updates.
I would plan for your travel schedule-
In view of the Enteritis you have, I would suggest you to restrict to liquid bland helpings with less of solid and more of soups... for 2-3 days ...!!
Try to be on plenty of fluids and lime juice with salt.
Avoid more solid food.
Diluted Butter Milk with salt.
Banana Milk Shakes or banana helpings 2 times per day.

Q-Should i give it a few more days of mild food and fluids.
Ans-Yes, restrict to bland liquid non-spicy salted helpings in all forms. Don't take beverages.

Hope this would help you to resolve your health travel issues.
Keep Me updated if need be 24 x 7 .

For this you just keep Me updated after 3 days by private and direct question to Me, by My name, by a special note from your side.

Hope this would resolve your health issue related to this query.

Welcome for any further query in this regard.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Mukund Savaskar (45 hours later)

Hello

My pain is still there and moved to slightly above right waist, and sort of on the same area as before. No other symptoms. When i grab the fat tissue in this area it is a pinch like tender sore and pain

Kindly assist - i have only had liquids today

Answered by Dr. Mukund Savaskar (12 hours later)

Brief Answer:
Keep Patience for 2 days and add medicines as suggested ...!!

Detailed Answer:
Brief Ans-Keep Patience for 2 days and add medicines as suggested ...!!

Hi Dear, thanks for the updates on current status today.
You need to add Medicines as suggested in first reply.
Tab CIPLOX-TZ / 1-1-x 2 times per day
Tab Imodium /1-1- x 2 times per day (to take only if you're having loose stool, which you've mentioned was not there)
PPI-Like-Cap PANTOPRAZOLE-DOMPERDONE combination twice daily on before food per day

By coming 2 days time, along with bland liquid/ butter milk rice / and Yougurt -sugar- helpings x 2 -3 times a day as suggested should recoup you.

Once your stool comes to normal with reduced pain, you can add semisolid/ non-spicy bland food for next 3 days time.

With medicines for total of 5 days with script from your doctors there, you should come out of this problem.

The right sided pain is from colitis you had from food poisoning 2 days back on travel and is taking time as it seems to be moderate food poisoning and you did not add medicines to control it as suggested.

Don't worry.But don't forget to add medicines and to follow dietary suggestions.

Welcome for any further query in this regard.

Hope this would help you to resolve your health travel issues.
Keep Me updated if need be 24 x 7 .

For feed back you just keep Me updated after 3 days by private and direct question to Me, by my name, by a special note from your side.

Welcome for any further query in this regard.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee