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Pain under rib cage and back

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I have pain under my lower left rib cage and back. I have had these symptoms for nearly a year and have recently had my gallstone removed, but the symptoms persist. The pain seems to peak in the early hours of the morning and wakes me up.

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
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Thank you for asking your query. 

Form your question I understand that you are having a rather troubling pain in the lower left rib cage and back.  

There are many possibilities for this pain but the ones I would like to consider are the following : 

1. Musculoskeletal pain at ribs and intercostal muscles
2. Lung/ Pleural irritation
3. Diaphragmatic irritation
4. A splenic involvement
5. Peptic Ulcer
6. A pancreatic involvement. 
7. A spine problem, with pain radiating

Now there is no need for any alarm. The way we go about finding the cause is a step by step approach and to rule out most common and not to miss causes. For that you will need to get few tests done with the help of your Physician. This will be a Chest XRay, XRay of spine – AP and Later , a Ultrasound of Abdomen, Complete Cholesterol study, S. Amylase, S. Lipase. This will rule out many possibilities and if needed further tests can be done. I  am sure you many options for pain relief. Now I would recommend you to use an anti Ulcer drug (Pantoprazol / Omeprazole ) in consultation with your Physician. This has to be taken just before sleep. If the pain has an ulcer component in it, this will help.

Hope this helps.
Please feel free to ask any follow-up questions. 

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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