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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can severe Pain Below The Rib Cage Be Treated?

I had ammonia a couple of weeks ago, and about two days after my treatment of antibiotics and Prednisone ended I started having a real bad pain under my left rib. Within a day or two my feet swelled and hurt so bad I thought that they were going to bust open. Since this started my cough has been real dry and non productive, which of course makes it hurt as well. One of my Dr.s ob/gyn. listened my lungs and said that they sound ok, but that she ordered another round of a z-pac antibiotic. What could be causing this?
Tue, 2 May 2017
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Cardiologist 's  Response
Hello,
Most probably an acidity, reflux and gastritis. Do you also have nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated.
You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any.
You can get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination beforebreakfast once a day for 2 weeks. If not adequately relieved, then you should add Syr sucral O or gelusil two teaspoon three times a day for a week. For immediate pain relief, you can have antispasmodic like tab Dicyclomine 20 or hyoscyamine 10 mg whenever needed upto three times a day. Hope this helps you and get back if you have any doubts.
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How Can severe Pain Below The Rib Cage Be Treated?

Hello, Most probably an acidity, reflux and gastritis. Do you also have nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination beforebreakfast once a day for 2 weeks. If not adequately relieved, then you should add Syr sucral O or gelusil two teaspoon three times a day for a week. For immediate pain relief, you can have antispasmodic like tab Dicyclomine 20 or hyoscyamine 10 mg whenever needed upto three times a day. Hope this helps you and get back if you have any doubts.