HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Dull Pain Under The Ribs?

default
Posted on Fri, 1 Jul 2016
Question: Hi i keep getting a dull pain under my right rib to my shoulder and get bile smelling stool. Had 3 ultrasounds and no gallstones. Not had an hida scan yet tho
doctor
Answered by Dr. Dr. Klerida Shehu (36 minutes later)
Brief Answer:
Please follow...

Detailed Answer:
Hi and thank you for asking on HCM!
I read carefully all your concerns and i can say as follows:
- dull pain under your right rib is related with gallbladder issue, large bowel issues.
With regards to gallbladder issues it may be related with gallstones and sludge.

Even it can be ruled out from ultrasound, in a small cases ultrasound may miss gallbladder sludge.
With regards to large bowel issues. I need to know if you have had constipation recently.
Constipation/IBS may mimic your symptoms too.
This is why I suggest to have a healthy diet, increase physical activity, avoid unnecessary stress and take plenty of water.
Otherwise to get an accurate opinion about your symptoms you nee to do abdominal MRI and colonoscopy.
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Klerida Shehu (8 minutes later)
Ive had a colonoscopy and came back clear, my doctor said it could be ibs but not definate . I never get constipated at all but do have loose stools every morning . Im currently on oneorazole 20mg and tried other medication incase it was that giving me loose stools. Could it be that the oneorazole dose is too low ? This pain from my under rib to shoulder is not nice daily
doctor
Answered by Dr. Dr. Klerida Shehu (26 hours later)
Brief Answer:
Please follow...

Detailed Answer:
Hi and sorry for my late!

You are reporting to have loose stools. Your symptoms are probably related with IBS-D.
The pain that you are telling is explained by large bowel fast peristaltic.
With regards to omeprasole use.
Yes it is true that is associated with diarrhea. If your symptoms has started after you started omeprasole use than it can explain your symptoms.
Hope it was helpful to you.
Dr. Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Klerida Shehu (7 minutes later)
My doctor today has now changed me to lansoprazole 30mg so im hoping this will help. Ive also been given lopermide/ immodium . Can i take two every night before bed? Will it help with my morning diarrhea? Also what could the pain be under my right rib to right shoulder ? Thankyou
doctor
Answered by Dr. Dr. Klerida Shehu (19 hours later)
Brief Answer:
Please follow. ..

Detailed Answer:
Hi back,
With regards to loperamid it is not good using two tablets before bed. It may cause constipation.
I would recommend to use one tablet in bed time.
The pain which you are describing probably is related with fast bowel peristaltic.
Hope it is helpful to you.
Dr. Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Klerida Shehu (30 minutes later)
Thankyou for the reply. What can i do if the loperamid doesnt work? I was like this before i was on ppi medication. Would you say its not gallbladder related? My doctor said because ive had 3 ultrasounds its not my gallbladder so what else can the numb daily pain be?
doctor
Answered by Dr. Dr. Klerida Shehu (18 hours later)
Brief Answer:
Please follow

Detailed Answer:
Hi back,
If loperamide doesn't work than you can use anticholinergic drugs like diclocymine (bentyl).
With regards to your pain, it is less possible to be due to gallbladder since abdominal ultrasound is normal.
It is most probably related with IBS and peristaltic waves of large bowel.
Otherwise abdominal MRI will defensively rule out gallbladder issues like sludge or diskinezia.
Hope it was helpful to you.
Dr. Klerida
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Dull Pain Under The Ribs?

Brief Answer: Please follow... Detailed Answer: Hi and thank you for asking on HCM! I read carefully all your concerns and i can say as follows: - dull pain under your right rib is related with gallbladder issue, large bowel issues. With regards to gallbladder issues it may be related with gallstones and sludge. Even it can be ruled out from ultrasound, in a small cases ultrasound may miss gallbladder sludge. With regards to large bowel issues. I need to know if you have had constipation recently. Constipation/IBS may mimic your symptoms too. This is why I suggest to have a healthy diet, increase physical activity, avoid unnecessary stress and take plenty of water. Otherwise to get an accurate opinion about your symptoms you nee to do abdominal MRI and colonoscopy. Dr.Klerida