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What Causes Severe Pain Under The Ribs On Sneezing And Coughing?

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Posted on Fri, 24 Jul 2015
Question: Hi. two weeks ago I suffered a sinus infection that I coughed and sneezed my way into soreness in my ribs and back for a day or so. After a few days I noticed the area around the 6,7 Costal Cartlidge area of ribs on the right side just right of the sternum was sore. The the coastal area was sore to the touch and the pain radiated a few inches below the ribs also. There was a slight swelling below this area. I have uploaded a photo of the area of concern. Previously I had a back injury to my spinal erectors area on the right side aswell. I have had costochondritis of the sternum area before. I have been under a lot of stress lately and have had some acid reflux.
The ibuprofen and lortab seem to help
Just for reference doc, I took a muscle relaxant just about a hour ago and my pain for the most part is gone, I do have some tenderness on the part of the costal rib as explained about but I have to palpate the area. I also palpated the area below and have maybe some very light tenderness. overall I feel the muscle relaxant has taken 80% of the pain away vs to ibuprofen or lortab which took about 40%
doctor
Answered by Dr. Vaibhav Gandhi (15 hours later)
Brief Answer:
Medication like muscle relaxant and methylcobalamine will reduce pain

Detailed Answer:
Hello

Thanks for writing to us;

I have studied your case with diligence and seen clinical photo.

Medication like muscle relaxant and methylcobalamine will reduce pain along with it use rib support belt.
You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case.

Local blocks or laser treatment may help you.

Swelling can be due to inflammation and infection, clinical examination will help along with investigation like CBC, ESR, CRP, and CT scan.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion.

Wishing you good health.

Take care.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vaibhav Gandhi (2 hours later)
Thanks doc I was worried I had a enlarged liver or something. My chiropractor said he thought it might be costochondrtris.
doctor
Answered by Dr. Vaibhav Gandhi (17 hours later)
Brief Answer:
You may do blood liver function test.

Detailed Answer:
Hello

If you want ,you can do blood liver function test to rule out any liver disease.


Wishing you good health.

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What Causes Severe Pain Under The Ribs On Sneezing And Coughing?

Brief Answer: Medication like muscle relaxant and methylcobalamine will reduce pain Detailed Answer: Hello Thanks for writing to us; I have studied your case with diligence and seen clinical photo. Medication like muscle relaxant and methylcobalamine will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. Local blocks or laser treatment may help you. Swelling can be due to inflammation and infection, clinical examination will help along with investigation like CBC, ESR, CRP, and CT scan. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take care.