What Causes Pain In The Ribs While On Tylenol?

Posted on Sun, 30 Jul 2017

Question: communicated with xxxxxxxxxxXXXXXXX 10. My problem still exists. Had cortizone shot to muscle between ribs 2-3 weeks ago - still in pain. My doc said take tylenol with muscle relaxer RX he gave me. Should this last soooo long? Please advise.

Answered by Dr. Ivo Ditah (2 hours later)

Brief Answer:
Has there been any change in the intensity/severity of the pain?

Detailed Answer:
Hi and thanks so much for following up with me.

It is so unfortunate that you are still in pain. I will like to know whether this pain has decreased or it is still about the same. If it is still about the same, I will get concerned that we might have been looking at something else. If it has improved, it offers hope and allows us to continue with pain medications.

Also, is this pain having any relation to meals? for instance when you are hungry after you have eaten, etc? Do you have any pain in the front part of the chest?

I will hear from you before continuing. However, I am moving more towards the point of a comprehensive evaluation, laboratory testing and imaging studies to fully understand what could be the issue. I would have expected good pain medications to resolve the muscle pain and not see it go on for this long.

Waiting to hear from you....

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (1 hour later)

Pain has not decreased and occasionally moves across my lower rib area. It feels like a belt is tied around me too tightly (I had to stop wearing a bra because I couldn't stand the tightness around my middle). NO relation to meals, in fact I eat very lightly so a full stomach doesn't interfer with my lungs working. The pain does have an effect on my breathing -- most pain when inhaling, lessl pain when lying down. Unless you have another, maybe I'll try Advair or Aleve and see what happens. Thanks for quick response.

Answered by Dr. Ivo Ditah (6 hours later)

Brief Answer:
Try tramadol rather!

Detailed Answer:
Hi,

I will rather goo with tramadol and tylenol at this time. It really seems a muscular pain and am a bit unsettled why it wouldn't respond to hydrocodone and steroids injection.

I always have reservations about Aleve. I wll want that you go with Tramaod: 50mg every 6hours amd Tylenol: 1000mg every 8hours in between doses of tramadol. Let's see how this goes.

I await your updates. I wish you a speedy recovery, too!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (10 hours later)

OK - I'll leave Aleve alone. Tried 1 Advil this AM - no results yet. Will go back to Tylenol. What is tramadol? Might I know it by another name?

Answered by Dr. Ivo Ditah (15 hours later)

Brief Answer:
TRamadol also know as ultram!

Detailed Answer:
Hi,

Tramadol is also known as ultram. It is a more potent analgesic than Aleve, Advil, Tylenol, etc. It has has the advantage of not causing harm to the stomach. However, it can cause constipation: Drink much water, fruits and vegetables to ensure that this doesn't happen.

I hope this guides and helps. I wish you well. Kindly keep me updated.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar