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

question-icon

What Causes Feeling Of Heaviness Under Rib Cage?

default
Posted on Thu, 16 Oct 2014
Question: Hi I'm having a heavy feeling under my rib cage in the middle and feeling nauseated and dizzy what could be causing this?? I feel really sick it's been happening for a couple of days and I get head aches at night time.
doctor
Answered by Dr. Vishal Garala (24 minutes later)
Brief Answer:
Hi it may due to gastric reflux or gastroenteritis

Detailed Answer:
Hi dear

I had gone through your query.
I understand your concern.

Heavy and nauseating feeling under the rib cage might indicate toward acidity or gastro esophageal reflux.

Did you notice when it is more severe means before or after food??
Any other symptoms like gastroenteritis like abdominal pain or cramp, diarrhea or mucus secretion in stool??

If it is only gastric reflux then can be treated with medicine like combination of rabeprazole with domperidone. It is taken 30 minutes before food twice in a day.

If your other symptoms suggest gastroenteritis for which you need to take antibiotics.
Antibiotics like combination of ofloxacin with ornidazole two times in a day for 5 day will help.

Pain and cramp can be treated if you have with dicyclomine with other antispasmodic drugs.
Take simple analgesic like paracetamol for headache.

But if you have very severe problem then upper GI endoscopy will give idea for esophagus and gastric mucosa and its inflammation.

I hope I have answered your concern.


Still if you have a query then feel free to ask.

Happy to help you.
Thank you.

Take care.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Vishal Garala (1 hour later)
Its before food. And it often has dizziness with where i have to sit or lie down
doctor
Answered by Dr. Vishal Garala (1 hour later)
Brief Answer:
Dizziness may be due to postural hypotension.

Detailed Answer:
Hi dear


Thank you for reply.

Dizziness may due to postural hypotension or drug related side effect.
Many a time drug like citalopram can lead to postural hypotension.
decrease food consumption can also cause dizziness or may be due to General medical illness and due to nauseating



Do dizziness related to any posture ???

It last fro how much time?

Do you have any injury due to fall down?

Because it may resolve as your reflux starting improving so do not worry.

If it is not severe then no extra treatment require.

Just take care of reflux. I suggest you start antacids which I have mentioned in earlier answer and use them for 4 weeks. Do not skip meals.

avoid spicy foods.

Take normal and healthy food regularly.

Go for physical check up including blood pressure and blood report if require.

feel free to ask if you have still query.

Always here to help you.

Get well soon. Take care.




Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Vishal Garala (6 hours later)
It lasts for about 10-15 minutes and comes and goes. I have been eating but proberly not enough as the nausea has been getting to me. Im on nexium already for reflux. It can happen when i stand up but also while seated as well.
doctor
Answered by Dr. Vishal Garala (8 minutes later)
Brief Answer:
wait for sometimes.

Detailed Answer:
Hi dear

Since how much time you are on nexium??
Usually it takes time around 7 to 10 days.
so wait up to 1 week for better response.

if this much time had gone then go for personal consultation for examination it better way. If needed then endoscopy is advisable. Because it is reflux which can occur periodically.
Dizziness also need evaluation properly.
If it is postural then take to measure your blood pressure in seating as well as standing position.
Thank you.

Still if you have a query then feel free to ask.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Vishal Garala

Psychiatrist

Practicing since :2009

Answered : 1714 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 Feeling Of Heaviness Under Rib Cage?

Brief Answer: Hi it may due to gastric reflux or gastroenteritis Detailed Answer: Hi dear I had gone through your query. I understand your concern. Heavy and nauseating feeling under the rib cage might indicate toward acidity or gastro esophageal reflux. Did you notice when it is more severe means before or after food?? Any other symptoms like gastroenteritis like abdominal pain or cramp, diarrhea or mucus secretion in stool?? If it is only gastric reflux then can be treated with medicine like combination of rabeprazole with domperidone. It is taken 30 minutes before food twice in a day. If your other symptoms suggest gastroenteritis for which you need to take antibiotics. Antibiotics like combination of ofloxacin with ornidazole two times in a day for 5 day will help. Pain and cramp can be treated if you have with dicyclomine with other antispasmodic drugs. Take simple analgesic like paracetamol for headache. But if you have very severe problem then upper GI endoscopy will give idea for esophagus and gastric mucosa and its inflammation. I hope I have answered your concern. Still if you have a query then feel free to ask. Happy to help you. Thank you. Take care.