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What Causes Pain Under Rib Cage Radiating To Neck Area?

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Posted on Mon, 4 May 2015
Question: I have a severe pain in my left side right under my rib cage that radiates to my neck. I have been running a low grade fever. Blood tests medicated my hemoglobin in 7.4. I waited in the ER for 4 hrs until I decided to leave since I had not been seen and my pain was debilitating. Could this be a kidney stone or something more serious?
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Answered by Dr. Ilir Sharka (2 hours later)
Brief Answer:
Need for a medical check up to rule out any serious acute disorders.

Detailed Answer:

Hello!

Thank you for asking on HCM!

Regarding your concern, I would explain that your clinical scenario needs a comprehensive differential diagnosis. Your symptomatic picture is compatible with several acute disorders, like an acute gallbladder inflammation/infection (cholecystitis), urinary stones, a left sided pleuritic inflammation, lung infection, possible spleen infarction, acute pericarditis, chest wall structure inflammation, pulmonary embolism complicated with pulmonary infarction, etc. You need first to relief your pain; some anti-inflammatory/analgesics drugs (like ibuprofen, naproxen, etc) would be of help regarding this issue (if inflammation is confirmed).

BUT, first you need an immediate physical exam, coupled with a resting ECG, chest X ray study, an abdominal ultrasound, and some blood tests to initiate the differential diagnosis. Eventual other tests may be needed, if any suspicions is raised. A cardiac ultrasound and other additional imagine studies could help sometimes to define the precise reason of the complains.

So. me advice is to run to your doctor and try to have a thorough medical check up, to clarify your pain and anemia as well. A serious disorder could be identified and promptly treated.

Hope to have been helpful to you.

Feel free to ask me whenever you need. Greetings! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

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

Cardiologist

Practicing since :2001

Answered : 9544 Questions

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What Causes Pain Under Rib Cage Radiating To Neck Area?

Brief Answer: Need for a medical check up to rule out any serious acute disorders. Detailed Answer: Hello! Thank you for asking on HCM! Regarding your concern, I would explain that your clinical scenario needs a comprehensive differential diagnosis. Your symptomatic picture is compatible with several acute disorders, like an acute gallbladder inflammation/infection (cholecystitis), urinary stones, a left sided pleuritic inflammation, lung infection, possible spleen infarction, acute pericarditis, chest wall structure inflammation, pulmonary embolism complicated with pulmonary infarction, etc. You need first to relief your pain; some anti-inflammatory/analgesics drugs (like ibuprofen, naproxen, etc) would be of help regarding this issue (if inflammation is confirmed). BUT, first you need an immediate physical exam, coupled with a resting ECG, chest X ray study, an abdominal ultrasound, and some blood tests to initiate the differential diagnosis. Eventual other tests may be needed, if any suspicions is raised. A cardiac ultrasound and other additional imagine studies could help sometimes to define the precise reason of the complains. So. me advice is to run to your doctor and try to have a thorough medical check up, to clarify your pain and anemia as well. A serious disorder could be identified and promptly treated. Hope to have been helpful to you. Feel free to ask me whenever you need. Greetings! Dr. Iliri