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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Pain Under The Ribcage

I have continuous pain under my left ribs. It is worse if i am in a reclined position. I have had this for about 5 years but it continues to get worse. I also have extreme hunger at night. I am up several times to eat...therefore i dont sleep most of the night. Also, more recent, is a sense of falling all night whether i am awake or asleep.
Fri, 27 Feb 2015
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello,
Thanks for your query.
Firstly the pain under the left side of the rib cage may be due to Gastritis(Inflammation of the stomach). I advise would be to avoid spicy and greasy food. Prescribe proton pump inhibitors like omeprazole. A gastroscopy will help in the diagnosis.

Secondly it may be due to pancreatitis(Inflammation of pancreas). Stop smoking and alcohol if any. Blood tests like serum amylase and lipase will help in the diagnosis.

Thirdly kidney stones. X ray of the KUB will help in the diagnosis. Antispasmodic for pain. Increased intake of water is advised. The size and site of the stone determines whether the treatment is medical or surgical.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Suggest Treatment For Persistent Pain Under The Ribcage

Hello, Thanks for your query. Firstly the pain under the left side of the rib cage may be due to Gastritis(Inflammation of the stomach). I advise would be to avoid spicy and greasy food. Prescribe proton pump inhibitors like omeprazole. A gastroscopy will help in the diagnosis. Secondly it may be due to pancreatitis(Inflammation of pancreas). Stop smoking and alcohol if any. Blood tests like serum amylase and lipase will help in the diagnosis. Thirdly kidney stones. X ray of the KUB will help in the diagnosis. Antispasmodic for pain. Increased intake of water is advised. The size and site of the stone determines whether the treatment is medical or surgical. I do hope that you have found something helpful and I will be glad to answer any further query. Take care