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What Causes Stabbing Needle Pain Under The Right Rib And Shoulder?
Question: Hello. Im 43 yo male, sporty fit. I starting have sort on "stabbing needle pain" under right ribb and even pain in right shoulder. Done USG ": echogogenic point could be liver haemangioma., 1,99mm." Apart of it i done all blood urine tests including liver : alat 38, Aspat 35, bilirubin 0,7.. AFP 2,84. SHOULD I GO FOR OTHER CHECKS.? I HAD THIS USG YEAR AGO AND THERE WAS NO CHANGES IN LIVER. I SWITCHED YEAR AGO TO HIGH FAT KETO DIET. CAN IT BE REASON?
Brief Answer:
No liver is likely not causing it.
Detailed Answer:
Hello,
Have seen your details and i appreciate your concerns,
As per your query answer is-
As per protocol pain involving both ribs(chest) as well as shoulder in a 35 plus male should initially be investigated for cardiac cause-
I would suggest you to go for two baseline test called echo and stress test. They will take hardly 40 minutes and if they are normal cardiac involvement could be ruled out.
Secondly this could be due to gastritis and acid peptic disorder. You can take over the counter medicine like omeprazole 40 mg twice daily empty stomach. If you respond to it most likely its acid gas disorder. Liver hemangiomas are usually asymptomatic unless they are really large. 1.99mm is too small a foci to cause any problem.
Initially i would suggest you to get a cardiac clearance.
Follow up with reports.
Thanks!
No liver is likely not causing it.
Detailed Answer:
Hello,
Have seen your details and i appreciate your concerns,
As per your query answer is-
As per protocol pain involving both ribs(chest) as well as shoulder in a 35 plus male should initially be investigated for cardiac cause-
I would suggest you to go for two baseline test called echo and stress test. They will take hardly 40 minutes and if they are normal cardiac involvement could be ruled out.
Secondly this could be due to gastritis and acid peptic disorder. You can take over the counter medicine like omeprazole 40 mg twice daily empty stomach. If you respond to it most likely its acid gas disorder. Liver hemangiomas are usually asymptomatic unless they are really large. 1.99mm is too small a foci to cause any problem.
Initially i would suggest you to get a cardiac clearance.
Follow up with reports.
Thanks!
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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