
What Causes Pain Under Left Rib Cage?

Investigations needed.
Detailed Answer:
Hi.
Thanks for your query.
Read and understood your history about the pain under left rib cage since 10 months, is intermittent, feels like a lump but not felt, improves on pressing the fist, occurs if not eaten for a while, feel sick and like passing out.
The symptoms are most suggestive of gastritis since it is increasing on empty stomach; can be due to some other problems that need the following investigations.
Since you are suffering for 10 months, it is wise to follow the advise of:
Upper GI endoscopy,
CT scan of the abdomen
Tests of blood urine and stool.
Clinical evaluation and examination and further investigation preferably under the guidance of a Gastroenterologist.
This will give you the most definite diagnosis as suspected and also help rule out other possibilities as costo-chondritis, pancreatitis and so on.
The treatment will obviously depend upon the findings.
I hope this answer helps you, please feel free to give additional information if any, feel free to ask relevant further queries if you feel that there is a gap of communication.

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