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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
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Experience:  MD
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For 2 days now I have been having a painful spasm type feeling

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For 2 days now I have been having a painful spasm type feeling under my right lower rib cage. The pain only lasts a few seconds but is very painful. It happens approx 10 times in a 60 minute period. It is not all the time. It comes and goes. It literally feels like a spasm. I feel something move and it is very painful. I feel a little sick to my stomach also.

mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.


I am here to help you with your concerns.

mysticdoc :

Do you have nausea and vomiting also?

Customer: Nausea yes. Vomiting no
mysticdoc :

ok

mysticdoc :

now do you notice worsennig of symptoms with certain food like fatty meal?

Customer: Are you still there?
mysticdoc :

yes please reply

Customer: Have not noticed that
mysticdoc :

ok

mysticdoc :

any yellow discoloration of the urine?

Customer: Not noticed that or looked for that
mysticdoc :

ok

mysticdoc :

any change in bowel habits like diarrhea?

Customer: No. Looser stool but not runny
mysticdoc :

Do you take any medication daily basis?

Customer: No
mysticdoc :

ok

Customer: Normally very healthy
mysticdoc :

Liver problem is one possibility.

mysticdoc :

Gallbladder problem less likely.

mysticdoc :

Pancreatitis less likely.

mysticdoc :

Viral infection of the intestine is also a possibiltiy

mysticdoc :

More likely can be muscle spasms if the rib cage.

mysticdoc :

Muscle strain from physical activities can trigger this.

mysticdoc :

If the nausea, vomiting worsen, then viral hepatitis is likely.

mysticdoc :

That should be confirmed with blood tests.

mysticdoc :

Otherwise, this i not serious.

mysticdoc :

most likely will improve with time, bland diet.

Customer: It is actually something moving when I press on it. It takes my breathe away it is so painful.
mysticdoc :

is it a swelling?

Customer: No
mysticdoc :

how does it feel like on pressing --muscle like?

Customer: Heartburn yes
mysticdoc :

or solid?

Customer: Under rib cage. Feels like it is inside. Not muscle
mysticdoc :

Ok-- liver can be felt like this if inflamed.

mysticdoc :

I will suggest a liver function test.

mysticdoc :

Ultrasound if it is abnormal.

mysticdoc :

also test for hepatitis if LFTs elevated.

mysticdoc :

If liver test normal, then this is likely muscle related.

mysticdoc :

Ultrasound will rule out any other lump.

Customer: Ok. Thank you
mysticdoc :

Not that concerning still --going by your symptoms and recent onset.

mysticdoc :

But still, liver test should be considered.

mysticdoc :

It was my pleasure to help you today.
Best wishes,
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