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Pleuritis.

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Hi,

Some short stats about me: Female, 28years old, no medication, about 58kg/165cm. Currently writing my phd thesis, so a lot of sitting is involved.

I have the following problem: I was sleeping in my bed when I was turning around. The movement brought with it a sudden tearing pain of the like which I have not felt in my life before. The pain is on the upper abdomen slightly to the right, two fingers beneath my breast - at the end of my ribs.

The area is swollen/numb now and there's some pressure. When my bowels move/I walk, I feel a not-so-distant echo of that pulling pain in the area. I remember laughing weirdly a day or so ago and that didn't quite sit right with me. Could this have caused it? Should I go see the hospital about it? It's Sunday, so all normal clinics are closed.

Thank you!


Category: Internal Medicine Specialist

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Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Hello,

Thank you for choosing DoctorSpring.

The tearing pain brought out by the twisting motions is most likely from a muscle or ligament over related to the ribs. Second possibility is as a stretching of the parietal pleura (the pain sensitive membrane over the lung) or the peritoneal lining over the gallbladder or liver.

The major organs are UNLIKELY to be involved as they do not have receptors for this kind of pain. So the origin of this pain is superficial and most likley not serious.

You can cautiously observe the symptoms and see how it evolves. You can take an OTC pain medication like Ibuprofen twice a day with food. Yes you do have symptoms of acid reflex (Ibuprofen could worsen them). So you can take another OTC anti reflux medication like Prilosec once day for 7 days without food.

Increasing swelling, abdominal pain, altered bowel habits, nausea, vomiting, breathlessness, increasing pain are the danger signs you need to watch. In case of any these signs develop you will need to visit the ER.

Hope this helps
Feel free to ask followups
Thank you


Dr. Deepu Sebin Sebastian
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Experience: 
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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