Right side pain under bottom rib. Anyone have any ideas my doctor is all out.

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grandmaroses
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   Posted 4/15/2012 2:15 PM (GMT -6)   
Hi everyone, I have been suffering with this pain for at least 3 years now. I know there are not a medical team here but my doctor has ran every test I have had colonoscopy and endoscopy, hida scan. All my tests come back with fatty liver, and the endoscopy said I had a slightly enlarged duodenum and thats it. I have seen my GP, a gastroenterologist and a RA specialist, a diabetic specialist.

For those of you who "know" me I just had a discectomy and L4-5 S1 spinal fusion and that was a while we can't find out what is causing the ruq pain we did find this so I agreed to have my back fixed hoping that the ruq pain was I don't know transferred pain?

My back is still sore but that is because I am not patient and I tend to overdo things so on a chart it ranges from a 1-3, but the ruq pain is 6-8 and it makes me nauseous but I do not puke. This pain is really getting beyond what I can tolerate and all I am asking is if anyone had any idea what could be causing it please share your thoughts. I am going back to my GP this week so he can start re-doing all the tests, there has to be a reason for this pain and I need help.

The only strange thing is this pain started 3 months after my GP switched me from oral to insulin medication for diabetes. I do not know if that would cause this problem but when I mentioned it to him he said no.

Please anyone with an idea I think this could actually be something simple that is being over looked. Please if you can think of anything.

Jim1969
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   Posted 4/15/2012 3:50 PM (GMT -6)   
The only possible way I could see the insulin or injections causing an issue is if you are injecting yourself in that immediate area and then I would think it could possibly be an injection site reaction or infection, but I have never heard of anyone giving themselves injections anywhere near their ribs.

Have you by any chance ever had any kind of surgery on your right side or had a chest tube put in on that side? Even if it was 30 years ago? If you have then it is possible your pain is being caused by scar tissue tightening up and pulling on things.

I had that problem a few years ago. Had terrible upper back pain which we finally traced to scar tissue from where I had a chest tube inserted once. My pain was clear back by my shoulder blade and the scar was on my side and a bit lower than where I had back pain. After a few weeks of massage and sonagram therapy the tissue was partially broken up and stretched out and I was cured of that pain.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.
Moderator Depression Forum.

grandmaroses
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   Posted 4/15/2012 4:23 PM (GMT -6)   
Hi Jim, Great idea but no the only other surgeries were a hysterectomy and a couple of belly button scope where they were exploring before the big H, the insulin injections are going into my tummy not rib area I was thinking perhaps pancreas but that would have shown through endoscopy.

Thank you for trying as you can tell I am getting frustrated, The not so funny part of this is if I go into ER they say for me to make an appt with my GP so I am stuck in a loop.

Screaming Eagle
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Date Joined Sep 2009
Total Posts : 4974
   Posted 4/15/2012 5:12 PM (GMT -6)   
Hello Rose!

I did a quick search here on the web about this symptom, and found quite a number of patients who suffer from this! However the diagnosis is difficult to find, and I saw several possible answers for it.

I would suggest that you do a web search on it and type in "Pain under bottom right rib"….and take a peek at some of the results that your web search comes up with. I see you have had this for three years…a long time with no diagnoses. confused ..Sorry that you have been suffering this long with it.

We are really pleased that your fusion is coming along great! cool

Take care,

SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

grandmaroses
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Date Joined Jan 2011
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   Posted 4/15/2012 6:13 PM (GMT -6)   
Yes I have been searching for years but most of the people who have the same kind of pain either it's gallbladder or IBS, or they just disappear without an update. I have had my gall bladder tested even though my dr 30 yrs ago said it had to come out my current testing says its fine.

I posted this because sometimes the answer is in somebody's head just not mine yet.
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

Screaming Eagle
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Date Joined Sep 2009
Total Posts : 4974
   Posted 4/15/2012 6:35 PM (GMT -6)   
…it's ok….just trying to help…..and you are correct,…it seems to be a big mystery as to what causes it. I hope you find a solution to it.

SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

grandmaroses
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Date Joined Jan 2011
Total Posts : 1355
   Posted 4/15/2012 7:35 PM (GMT -6)   
Thank you, for understanding I think anyone who lives with constant pain looks for answers even if sometimes we do not like them.
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

Alcie
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Date Joined Oct 2009
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   Posted 4/16/2012 10:06 AM (GMT -6)   
I have pain in the same place. Mine is from disconnected ribs where they should be joined onto the ones above (costochondral junction). It's not at all obvious to doctors even if they reach under and try to pull them out. They don't slip that direction. They don't show on x-ray or CT, except mine were fractured and cortical cracks showed then. This is not uncommon and is often refered to as costochondritis or slipping rib syndrome.

My ribs slip over each other and rub together when I twist or slouch. It doesn't hurt anymore right when it happens, but it sure hurts later. I can feel what is going on but have a hard time reproducing it when sitting up on the doc's table.

The only treatment that has worked has been intercostal injections near the spine, much like spinal injections. Injecting in the front didn't do anything at all. I was told I could have ablation of the nerves also.

grandmaroses
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Date Joined Jan 2011
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   Posted 4/16/2012 4:06 PM (GMT -6)   
Hi and thank you for sharing Alcie, the gastro dr gave up and said it is probably costochondritis but I also have a golf ball size lump right under my rib that she told me does not exist however I feel it, my hubby feels it and if you were here you could feel it protruding but it is according to ultrasound within the normal parameters.

I think our health care has gotten so bad that Drs do not want to spend time with their patients they rush us in and out like cattle without actually listening to us. This is another reason I posed hopefully there is someone that like you have the same pain experience. I am a 6.5 pain right now and very uncomfortable, it gets so bad my berating is affected.

I need my GP to figure this out or I will be stuck taking narcotics and yes I too am tired of the looks from pharmacy.

Thank you again
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

bussssss69
New Member


Date Joined Apr 2012
Total Posts : 1
   Posted 4/16/2012 4:57 PM (GMT -6)   
these are my symtoms, sometimes upper back stiffness ,hurts when I get out the car or move fast , then lower back pain (which I live with it since I contribute it to being over weight). I first felt on the right side near ribs a weird feeling from under right breast as if a knot was forming espeically when I was sittind down. So I thought well this is how it feels in getting old. I went for a massage which felt good but after about a hour I got stiffer and stiffer and couldnt put my shoes on. and then came the pain like muscel spams when ever I turned or got up from a chiar. It didnt hurt if I walked but I walked as if I was walking on eggs shells. WHen I got to the hospita (ER)l and was sitting for a bit I had pain that was a 9-10. It got worst around the area of my waist (u know where u put your hands) and when ever I turned it was killing me. all under my breast, they gave me morphine drip. which zoned me out, there was stillpain but who cared LoL I coud walk but slowly. I went home and thats when the spams came like labor pains. If I moved my left leg I got a cramp or spam on my right stomach to my right side under my bra. I took the vicadin and rested. while I was healing I felt as if a fighter had hit me several times in the back and stomach. I didnt have any vomiting, diaherria, my appitie was good in fact I didnt miss a meal. Complete bed rest. no driving a car. I have recovered......

grandmaroses
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Date Joined Jan 2011
Total Posts : 1355
   Posted 4/16/2012 5:22 PM (GMT -6)   
But what was it that caused the pain? I have had my share of rest
I need to know so I can be in less pain.
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

Alcie
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Date Joined Oct 2009
Total Posts : 3306
   Posted 4/17/2012 7:51 AM (GMT -6)   
Rose,
Are you taking anything for your fibro? My tramadol helps some, and once in late afternoon 5 mg amitriptyline (no more or I risk serotonin syndrome!) works even better. That and the intercostal injection relief suggest my pain is neuro. Raising serotonin is well known for helping neuro pain in this area.

grandmaroses
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Date Joined Jan 2011
Total Posts : 1355
   Posted 4/17/2012 9:28 AM (GMT -6)   
Yes Alcie I take the same as you, I amytriptline 10mg 1 every evening, I also tale half a sleeping pill, and targan l/a pain and oxycodone for b/t pain, all the above are for my in diagnosed pain and fibromyalgia. I no longer take the cymbalta or lyrica which are considered fibro drugs.
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

Alcie
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Date Joined Oct 2009
Total Posts : 3306
   Posted 4/17/2012 11:22 AM (GMT -6)   
Rose,
What is targan?
I find amitriptyline lasts 12 hours, so I can't take it too late in the day or I have a hangover the next day. When I've been doing or going to do work that is hard on my torn rotator cuff, I take it, and it gets me through. It probably doesn't help to be doing work that could tear the cuff more, but I have no one to do them. I try to avoid that and am trying to train my DIL to drive the tractor, poor thing. I can babysit now that the youngest is walking.

I agree. Cymbalta and Lyrica didn't help me either. The major opioids don't work for me anymore, so I have no b/t meds.

grandmaroses
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Date Joined Jan 2011
Total Posts : 1355
   Posted 4/17/2012 11:53 AM (GMT -6)   
Alcie, targan is a non constipating long acting oxycodone pain reliever. I have IBS so am careful of what meds do to my system. It is very expensive here and have been trying to figure out how to safely wean off it. I am going to discuss this with my GP at my next visit.
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

grandmaroses
Veteran Member


Date Joined Jan 2011
Total Posts : 1355
   Posted 4/17/2012 4:04 PM (GMT -6)   
I booked an appointment for Monday the 23 so we can discuss medications, any possible strategy for finding pain
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3306
   Posted 4/17/2012 7:19 PM (GMT -6)   
Best wishes Rose. I hope you find the cause for your pain and something that works to relieve it.

grandmaroses
Veteran Member


Date Joined Jan 2011
Total Posts : 1355
   Posted 4/17/2012 8:05 PM (GMT -6)   
Thank you I must say with so many people complaining of the same pain in cyberspace that if I ever find out what is the cause I will happily post it.
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

tyalexa
New Member


Date Joined Feb 2013
Total Posts : 1
   Posted 2/2/2013 6:53 AM (GMT -6)   
Hi Rose,

Not sure if anyone looks at these posts still but thought I would try...I have a lot (an I mean a lot) of the same symptoms and I recently discovered (after living with this for two years) that we have an extremely high level of aspergillus penicillium moulds in our home and I am allergic to mould. You may want to have that checked.

grandmaroses
Veteran Member


Date Joined Jan 2011
Total Posts : 1355
   Posted 2/5/2013 11:09 AM (GMT -6)   
Hi tyalexa,
Mould? Well I have never been tested for that. I am having respiratory testing done next week. My breathing issues are back but because I was a smoker for too many years copd, emphysema have been diagnosed. Why not an allergy to mould, my doctor has given up, I keep saying its time for a new Dr but others are having same problems with their dr. Thank you I will see what I need to do to get an air quality test.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3306
   Posted 2/5/2013 1:33 PM (GMT -6)   
I have allergies too, but I get shots and am not troubled by them.

My ribs were found on X-ray to have cortical cracks, after my wreck, and took up the dye on a bone scan.

The rib pain gets worse if I try to sweep with a broom or a vaccuum cleaner, shovel a little snow - anything that involves slight twisting. I've had to hire housekeepers for major cleaning and get hubby to shovel. I used to drive the tractor, but get my son to do that, also get a neighbor to do the major plowing. Sitting reclined, with the body bent forward at that area, can aggravate the ribs too.

The only thing that worked to stop the pain, outside of getting IV narcotics, was nerve blocks for ribs 8,9,10 at the spine. The blocks in the front near the pain didn't work at all. I have to have an anesthesiologist do them. He's told me recently that all he can do in the future is an ablation under anesthesia - burning the nerves semi-permanently. But there's a high chance of puncturing the covering of the lung and getting a pneumothorax, maybe 10 - 20%.

So I just put up with the pain and avoid aggravating it. Tramadol works during the day, not perfectly but all I can take. Since that med wakes me up, I am trying a Celebrex at night along with melatonin and Ambien. At least I wake up with a little less pain. These meds ameliorate, to a degree, the pain from a whole bunch of other conditions.

We can't expect pain free. If we can function it's a win.
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