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Gastritis and hiatal hernia with soreness of rib area

Resolved Question:

I have history of gastritis and a small hiatal hernia
I'm on 20 mg pantoloc for a month already
Tonight out of nowhere had soreness pain on right rib area
What is it from
Bothering me
Had gallbladder checked two months ago
No stones

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 27 Doctors Online


Thank you for asking your query at DoctorSpring.

I will require some additional information from so that I can give my best learned opinion.

1.Is the pain superficial ? Like is it a pain on the bones of the rib cage ? Or is do you feel the pain 'inside' as in the abdomen?

2.Does this pain has got a relationship with food intake ? (Like gets relieved when you take food , aggravates when you are hungry ? Something like that ?)

3) Is the pain colicky ? (Comes and goes with sharp pinch )

You can reply as a followup .
Thank you.

Patient replied :

It seemed superficial nothing to do with food
Was relieved with bowels
Maybe gas
It's like an ache
I get it on both sides at different times


This pain seems to be related to ulcer peptic disease. This is similar to the Gastritis, but can occur beyond the stomach like in the duodenum , which can manifest as pain in the right side. This is not gallbladder or stone related pain.

The Pantoloc you are taking will be sufficient for this. Make sure you are taking the medication on an empty stomach and you are not taking any food at least for an hour. Avoid spicy and irritant food for a week. Take regular meals on time. The pain should disappear in a weeks time.

Hope this helps
Please feel free to ask followup questions.

Thank you

Patient replied :

But I have been on pantoloc a month 20 mg
With food
...I also did h pylori test negative
Can I have ulcer too


Please take the medication just before sleep. I suspected you are taking it with food, and probably that is the reason why it is not working. Yes even H.Pylori is negative and even if you had Pantoloc you still can have ulcer. However as per your symptoms description this does not seem to be a major ulcer. If the problem persists you may require further investigation including an endoscopy.

Hope this helps
Thank you

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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