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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Discomfort And Pain Under Rib Cage, Radiating. Broken Rib Weeks Ago, Have Crohns Disease. Urine Test Shows Bilirubin In Urine

I am having a lot of discomfort and pain under right rib and it seems to radiate out to upper back and shoulder. I broke a rib a few weeks ago and was prescribed co codamol and am only taking 2 to 4 per day but this pain seems different. I am 37 and have Crohn's disease and as I haven seen my specialist for a year I decided to do a home urine test which showed positive for bilirubin in urine. I have phonedu specialist bit feel really neglected by them and they said they would send me next available appointment ? What could be causing this? It doesn't seem like my normal crohns pain.
Tue, 5 Nov 2013
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Orthopaedic Surgeon,  's  Response
Hello,

Thanks for writing to us,

I have studied your case with diligence.
As per your history of trauma there is possibility of rib contusion.
Rib contusion is not always visible on X ray .You may need to do HRCT to see details of injury
I will advise to consult to orthopaedic surgeon.

Medication like muscle relaxant and analgesic 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.
You may need to take rest for early healing.

Bilirubin in urine suggest liver problem ,do liver function test and USG abdomen

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
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Discomfort And Pain Under Rib Cage, Radiating. Broken Rib Weeks Ago, Have Crohns Disease. Urine Test Shows Bilirubin In Urine

Hello, Thanks for writing to us, I have studied your case with diligence. As per your history of trauma there is possibility of rib contusion. Rib contusion is not always visible on X ray .You may need to do HRCT to see details of injury I will advise to consult to orthopaedic surgeon. Medication like muscle relaxant and analgesic 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. You may need to take rest for early healing. Bilirubin in urine suggest liver problem ,do liver function test and USG abdomen 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