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What Causes Sharp Pain In Lower Ribs?

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Posted on Mon, 23 Feb 2015
Question: I have had intermittent dull to sharp pain in my right lower rib s and flank for about 4 days no injury no nausea no bowel or bladder changes I am 54 male
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Answered by Dr. M Y Shareef (43 minutes later)
Brief Answer:
Some investigations along with a general and local examination needed.

Detailed Answer:
Hi XXXXXXX ! Good evening. I am Dr Shareef answering your query.

Even though it needs clinical assessment for a diagnosis, from your history, it seems that you have inflammation/calculi in your gall bladder/biliary system giving rise to such intermittent sharp pains.

If I were your doctor, I would advise you to avoid fatty/oily food which would precipitate the pain more due to contraction of the gall bladder to empty bile into the intestines. I would advise you a bland diet, some routine investigations like a CBC, a blood sugar, liver function test, a serum amylase and lipase to rule out associated panreatitis, and an ultrasound abdomen to see the status of the biliary tree including the gall bladder to exclude a stone causing cholecystitis and also to know the status of the pancreas. The ultrasound would also help us in ruling out a kidney stone disease on the right side.

Further management would depend on the result of clinical examination and reports of the related investigations. Till then you could go for an anti spasmodic along with a proton pump inhibitor for a symptomatic relief.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.


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Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.



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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. M Y Shareef

General Surgeon

Practicing since :1979

Answered : 2457 Questions

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What Causes Sharp Pain In Lower Ribs?

Brief Answer: Some investigations along with a general and local examination needed. Detailed Answer: Hi XXXXXXX ! Good evening. I am Dr Shareef answering your query. Even though it needs clinical assessment for a diagnosis, from your history, it seems that you have inflammation/calculi in your gall bladder/biliary system giving rise to such intermittent sharp pains. If I were your doctor, I would advise you to avoid fatty/oily food which would precipitate the pain more due to contraction of the gall bladder to empty bile into the intestines. I would advise you a bland diet, some routine investigations like a CBC, a blood sugar, liver function test, a serum amylase and lipase to rule out associated panreatitis, and an ultrasound abdomen to see the status of the biliary tree including the gall bladder to exclude a stone causing cholecystitis and also to know the status of the pancreas. The ultrasound would also help us in ruling out a kidney stone disease on the right side. Further management would depend on the result of clinical examination and reports of the related investigations. Till then you could go for an anti spasmodic along with a proton pump inhibitor for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. Edit Answer Delete Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician. Online Doctors