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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain Under The Rib Cage?

I have severe pain under my left ribcage. I cannot take very much pain medicine because my stomach is sensitive. I am disabled with fibromyalgia, high blood pressure, and degenerative arthritis. What could this be? I ve recently had blood tests on my pancreas and liver and they were fine. What do you think?
Thu, 23 Apr 2015
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi,
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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What Causes Severe Pain Under The Rib Cage?

Hi, 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