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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Intermittent Rib Pain, Flares Up During Stress. Normal X-ray, Ultrasound. Possible Causes?

i have had a pain in my right side about the 3rd rib up that comes and goes. i had exrays from the front and side on both sides which did not show anything. i have had an ultra sound on my kidneys and bladder which did not show anything negative. my blood work has been positive. my appetite is fine. just concerned about the discomfort. probably a 6 on a scale of 1 yo 10. i am going to schedule a colonoscopy to check that out. it seems to have been more of a problem when i am under more stress .
Tue, 16 Jul 2013
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Cardiologist 's  Response
Dear patient,

I agree with you that depending on your age, particularly over the age of 50 a colonoscopy can be indicated for unexplained abdominal symptoms. If it is normal, other functional causes of colic abdominal pain in the subcostal region, such as irritable bowel syndrome, can be contemplated, but again, this is usually a diagnosis of exclusion where there is no structural organic disease of the gut.

Yours truly,

Dr Brenes-Salazar MD
Mayo Clinic MN
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Intermittent Rib Pain, Flares Up During Stress. Normal X-ray, Ultrasound. Possible Causes?

Dear patient, I agree with you that depending on your age, particularly over the age of 50 a colonoscopy can be indicated for unexplained abdominal symptoms. If it is normal, other functional causes of colic abdominal pain in the subcostal region, such as irritable bowel syndrome, can be contemplated, but again, this is usually a diagnosis of exclusion where there is no structural organic disease of the gut. Yours truly, Dr Brenes-Salazar MD Mayo Clinic MN