
What Causes Pain Under The Rib Cage While Having Hepatic Hemangioma?

I have loss appetite for past 15 days. I have a fear of cancer. I loosed by appetite and always my thinking is on that. I scanned in 2005 for lungs they found a hemangioma and to reconfirm it i made a mri in 2009 with fear and in 2014 i had pain on left rib back so i made a ct it was said its hemangioma and no abdomen prob later after 6 months i lost my appetite and later it back after 2 months. I have a fear towards cancer always. Now i browsed a lot and lost my appetite. Will fear loose my appetite.
evaluation for hemangioma
Detailed Answer:
Hello,
1) pain under rib cage is related to hemangioma of liver. Generally hemangioma of small size never cause any symptoms. If its size >10cm or if they press nearby organ then only they cause pain.
2) I have answered your same query before, and i assure you that there is no correlation between hemangioma, stomach cancer, loss of appetite.
3) Stomach cancer cause early satiety, vomiting as first symptom, intestinal cancer cause episodes of blood in stool and anaemia, liver cancer cause pain under rib cage
4) In addition to that all cancer have specific blood test when particular cancer is suspected.
5) Cancer never develop only symptom of loss of appetite.
6) sever anxiety also cause decreased appetite
7) But I suggested before for evaluation with fresh reports (liver triphasic CT scan) not for cancer but to confirm size of hemangioma because hemangioma increase in size sometimes and if it cause severe pain then it require surgery also. But from cancer point of view, loss of appetite only can not be primary symptom for cancer


tumor markers
Detailed Answer:
Early satiety means your hunger satisfy with less food.
For intestine cancer tumor marker is blood CEA level
For Stomach cancer tumor marker is CA 19-9.
Generally if you have any of these cancers then these tumor markers would be elevated. And normal level of them exclude possibility of tumor


Thanks for reply. Will sudden loss of appetite be a major reason. Sorry to ask this again and again. More of fear in mind is running. Only symptoms i have is this. Inhave take my scan 2.5 yrs back even if cancer has come will grow to big stage ? What is the life span more afride on death .
Loss of appetite is not related with early stage of cancer
Detailed Answer:
Hello,
I apologize for late reply
1) Single symptom of loss of appetite less likely associated with development of cancer.
2) Also, this symptom develop at advance stage of cancer, not in very primary stage.


1. Discomfort on back of left abdomen in the morning
2. Mild heart burn very rarely. If indrink water it subsides on right chest.
3.mild indigestion in the lower abdomen ie rotatingbfell in intestine not in stomac.
4. More stress innmind 24/7!
kindly reply soon sir.
Gastritis or dyspepsia
Detailed Answer:
Hello,
1) Symptoms of heart burn (which relieve on drinking liquid), indigestion, loss of appetite may suggest you may have dyspepsia (indigestion) or gastritis/GERD.
2) In such symptoms you need simple treatment for acidity + indigestion.
3) But if these symptoms are since long time then I suggest you to undergo upper GI endoscopy to find out reason for such episodes. Generally in XXXXXXX population, H.Pylori infection in stomach may cause such episodes of gastritis related symptoms and if so, it require just antibiotic course to remove infection.


Realy thanks for reply. All this symptoms do not be for long time it come and goes if i take some tab like zomprazL or some tab. Fear to go for endo is there any blood check up to H Pilori. I also take restole .50mg do reduce my stress. Is it ok. Kindly reply soon pls sir
Your medications are appropriate for your symptoms
Detailed Answer:
Hello,
Yes your treatment is prefect. In fact if you are taking this treatment then consider to undergo for upper GI endoscopy only if your symptoms persist even after taking these medications for 10-15 days.
Also there is no need for doing modification in your present medications.


I am more thankful in my life to u.
Realy sorry to say unhave understood my ans. i have this gastric prob very rare and at that time i take zompraz L and now inam not in to any meditation. I took Rabimac for 10 days because inhad mildbpain in upper abdomen and i stopped it. Now from today morning i took estile .50 tonreduce my stress. Is there any blood test for my to find out gastric. My stool routine is normal except its acidic. No i am able to eat 50 %. But not fealing hungry. Can stress reduce my appetite that confusion also i have. Pls reply without drlay .
No need for any blood test
Detailed Answer:
Hello,
I do not think that you require any specific blood test for your symptom at present. Of course as your stress induced anxiety reduces, it may improve your appetite also.
Still I suggest to undergo for upper GI endoscopy if your symptoms do not relieve after taking medications for 10-15 days.
Yes your stool report is absolutely normal


Can i get your XXXXXXX no. I want to speak to you. I am having better food but not fealing hungry to eat.pls i want to speak to you. Can u help me out. Without hungerness i am able to eat no sensation of vomiting or any thing. What will be the reason. Can u give me your no
Not to worry too much
Detailed Answer:
I sincerely apologise for not providing personal contact detail.
I suggest you following plan
1) Continue your treatment for total 10 days
2) Assess your symptoms; If you have improvement in symptoms then forget everything.
3) Still if you have symptoms or your symptoms appear after stoppage of treatment then plan for upper GI endoscopy
you can contact me on YYYY@YYYY (if moderator of this web-site allows this)


Thanks a lot. Sorry to disturb u. I am able to eat 75% of my reg diet. My mind always says will it b a symptom of stomac cancer. No hungerness is there. Without hungerness can i have 5 idlies. No heavy in abdomen after eating also. Pls help me as your bro. Fear ti go for endo. I have send u my 2.5 yes old report is it pissiblevto find any libung of starting stage. Pks help me .
No symptoms related to cancer
Detailed Answer:
Hello,
I apologize for late reply.
Yes, you can eat without hungriness.
If thought of having symptoms related to cancer, repeatedly come in your mind then you should consider possibility of psychosomatic disorders also.
In this situation generally, patient thinks about having symptoms for particular disease in absence of that disease. But this diagnosis must come after eliminating all other possibility. It is no serious problem but it require psychological counselling and sometimes medication for anxiety.
If your all other reports come negative then there might be possibility of having this.


Can u say me what all other report to be negative. What report u want me to take. Fear to gonfor endo scaopy. Pls help me. What are the major symptoms of stomac cancer. Can u say me what will be the symptoms .
Symptoms of stomach cancer are different
Detailed Answer:
Hello,
If you are asking specifically for stomach cancer then common symptoms are upper abdominal pain, blood in vomiting (occasionally), early satiety (patient feel hungry but feel satisfied after small food only), vomiting containing food particles.
Symptoms of loss of appetite and loss of weight will be so severe in stomach cancer that patient can not eat at all, he/she become so thin (weight loss of 15-20 kg).
Definitely there is no urgency to go for endoscopy as your symptoms are either related to gastritis/indigestion or it is associated with psychosomatic disorder (fear of having disease). I suggested to go for endoscopy only and only if you have these symptoms continued even after complete course of medications


Consult psychiatrist after completing treatment
Detailed Answer:
Hello,
I suggest you to complete treatment first, if symptoms continue thereafter then you should consult psychiatrist.


Same treatment
Detailed Answer:
Hello,
I suggested to continue same treatment as you were taking before (Tab. Rabimac and Tab. Estile).

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