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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Rib Cage, Constipated, Bad Stomach Cramps. Taken Laxatives. Is It The Appendix?

Hi, I have had a dull pain under my lower right rib cage. It hurts mostly when I press on it and sometimes if I walk for a long time, sit or stand. In the past I have had troubles with constipation so I thought it may be because of that but when I took my laxatives the pain just stayed there. It has been here for 3 days but it is not getting worse, I do not feel nauseas nor do I have a fever, I am a bit scared to go to the doctor because I don't want them to tell me I just have a bad stomach ache or constipation again. Could my appendix be acting up? What do you guys think is wrong and what should I do. On a scale of 1-10 is about a 2 or 3.
Help me please?
Sat, 11 May 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
With the available describes symptoms, there appears to be possibility of right lower chest lung pathology or cholecystitis.
Location of pain suggests the diagnosis.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for complete blood count, liver function test, chest x ray, serum amylase.
You should also go for endoscopy along with biopsy.
Treatment depends on exact diagnosis.
Meanwhile, you should take proton pump inhibitors along with prokinetics and muscle relaxants.
Take care,
Dr. Mayank Bhargava
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Painful Rib Cage, Constipated, Bad Stomach Cramps. Taken Laxatives. Is It The Appendix?

Hi, Thanks for posting your query. With the available describes symptoms, there appears to be possibility of right lower chest lung pathology or cholecystitis. Location of pain suggests the diagnosis. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, liver function test, chest x ray, serum amylase. You should also go for endoscopy along with biopsy. Treatment depends on exact diagnosis. Meanwhile, you should take proton pump inhibitors along with prokinetics and muscle relaxants. Take care, Dr. Mayank Bhargava