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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Pain Under The Rib Cage On The Right Side Indicate?

I have had stomach problems for years. I have polyps on a regular basis, bleeding in my bowels etc. but for the past week or so. I have been having these deep belly belches that smell like sewer and they burn my throat. I ve never had this before and I m a little concerned. what s could be causing this. I also have pain under my ribs on the right side??
Tue, 12 Dec 2017
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Ayurveda Specialist,  's  Response
**
Thanks for contacting with your health concern and I've two opinions regarding your symptoms:

1. As you are having chronic digestive issues thus take an opinion of Gastroenterologist or medicine specialist who might ask for an investigation like endoscopy, gastric analysis, colonoscopy.

PS. As I haven't examined you directly, thus presently all the symptoms described attributes towards Acid reflux [GERD], thus promptly call your primary care provider/doctor, till then
. Do not lie down immediately after food.
. Head high position at night (during sleep)
. Take small nonbulky meals
. Bland and soft diet, avoid chilies and sour or fatty food
. Stop irritant drugs (pain killers)

2. As the pain is on the right side, ask for ultrasonography of HBR [hepatobiliary region] for Amoebic liver abscess and Cholecystitis.

PS. pain could be a pleural pathology. [ask for chest X-ray to exclude pleuritis, pleural effusion]

3. Consult a chest specialist who will go for systemic examination and if any chest signs are present will ask for imaging scans of chest with Hb%, WBC, ESR and then will provide proper management [as they can ask more detailed questions on associated symptoms]
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What Does Pain Under The Rib Cage On The Right Side Indicate?

** Thanks for contacting with your health concern and I ve two opinions regarding your symptoms: 1. As you are having chronic digestive issues thus take an opinion of Gastroenterologist or medicine specialist who might ask for an investigation like endoscopy, gastric analysis, colonoscopy. PS. As I haven t examined you directly, thus presently all the symptoms described attributes towards Acid reflux [GERD], thus promptly call your primary care provider/doctor, till then . Do not lie down immediately after food. . Head high position at night (during sleep) . Take small nonbulky meals . Bland and soft diet, avoid chilies and sour or fatty food . Stop irritant drugs (pain killers) 2. As the pain is on the right side, ask for ultrasonography of HBR [hepatobiliary region] for Amoebic liver abscess and Cholecystitis. PS. pain could be a pleural pathology. [ask for chest X-ray to exclude pleuritis, pleural effusion] 3. Consult a chest specialist who will go for systemic examination and if any chest signs are present will ask for imaging scans of chest with Hb%, WBC, ESR and then will provide proper management [as they can ask more detailed questions on associated symptoms]