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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dull Pain Below The Rib Cage Upon Standing?

I have a dull pain on my right side about one to two inches below my rib cage that only occurs when I m standing. It takes about an hour of standing to show up and goes away when sitting or lying down. About four nights ago, while urinating, I thought I saw something small and solid come out toward the end of the stream. I picked it up with a piece of toilet paper and it looked like it could be a small piece of brown clotted blood, kind of like what you would see in a handkerchief the next morning after having blood in the nose from a cold the night before . That s the only time I have seen a solid in my urine, and I m not sure it was in my urine stream in the first place. It could have been a scab from scratches on my arm I experienced while recently playing with my daughter s dog and that just fell off at that time, although it wasn t as dry as one would expect a scab to be. The pain isn t severe, and I m unable to locate or increase the discomfort with finger pressure to the area. I have had no recent physical strain that would bring this on.
Wed, 8 Jun 2016
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General Surgeon 's  Response
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation of Yours, You seem to suffer from-Right pelvic Renal Stone.The solid piece of brown clot,could be from irritating right pelvic renal stone,which causes pain while standing and with no pain while lying down.

CT abdomen with KUB study would resolve the cause of this pain under right ribs.Other causes need to be ruled out,like Gall stones,but clot while urination would not be there, and hence out of consideration.
This plan would reduce your dilemma from dull pain under right rib cage.

Hope this would help you to plan further of this complex illness of yours.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-

Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Dull Pain Below The Rib Cage Upon Standing?

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation of Yours, You seem to suffer from-Right pelvic Renal Stone.The solid piece of brown clot,could be from irritating right pelvic renal stone,which causes pain while standing and with no pain while lying down. CT abdomen with KUB study would resolve the cause of this pain under right ribs.Other causes need to be ruled out,like Gall stones,but clot while urination would not be there, and hence out of consideration. This plan would reduce your dilemma from dull pain under right rib cage. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS