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Dr. Sohaib
Dr. Sohaib, Doctor
Category: Medical
Satisfied Customers: 4709
Experience:  MBBS, FCPS Experienced in all Medical Specialities
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I have an uncomfortable pressure at the bottom under my left

Customer Question

I have an uncomfortable pressure at the bottom under my left ribs. The pressure is below the rib cage, but when I do a crunch movement their is intense pain under my ribs.

As for all digestive, or physical issues I'm rather healthy, 6ft 185lbs 28yrs old.

This has been going on for a few months now and I am def. starting to get concerned.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Sohaib replied 3 years ago.

Dr. Sohaib :

Hello and thank you for the question. Answers given are for informational purposes only and are not meant to replace an exam by an in-person.


I am Dr. Sohaib, a practicing Internal Medicine Specialist and i will do my best to help you today.


You need to answer a few questions first which will help me assist you in a better way.

Dr. Sohaib :

How severe is the pain on a scale of 1 to 10?

Dr. Sohaib and 4 other Medical Specialists are ready to help you
Customer: replied 3 years ago.
Ok, sounds good!
Expert:  Dr. Sohaib replied 3 years ago.

Please answer the questions i have asked so that i proceed further towards an answer for you.

Regards.

Customer: replied 3 years ago.
Dr. Sohaib : How severe is the pain on a scale of 1 to 10?

2-3 tops when stationary... up to a 6 if I move fast in a crunch...
It's more just pressure, and uncomfortable. Kinda feels like something in
there, or what is there is oversized...

Dr. Sohaib : Does it hurt more when you change posture? Cough?

YES, it does. Even on fake coughing, the contraction in my abs cause pain.
Expert:  Dr. Sohaib replied 3 years ago.

Thank you very much for the useful information Adam.

And sorry for a little delay in answer due to connectivity issue.

The most likely cause for this pain appears to be spasm of the abdominal muscles, particularly below left ribs which can occur as a result of unaccustomed exercise, dehydration, inappropriate posture or trauma (which might be un-noticed).

Another important differential is that it can be a radicular pain. Which means a pinched nerve in the spine can be responsible for this pain which happens when there is excessive abnormal pressure over the nerve as it exits the spine (eg in disc prolapse or vertebral degeneration).

Then there are some rare causes such as regional colitis or splenic enlargement which can give similar kind of pain.

Since this has been present for a long duration now, i will suggest you to have this examined clinically by your doctor discussing all the details i have mentioned in order to chalk out the management plan that suits best to your needs.

An MRI of the spine and Ultrasound of the abdomen will be the most useful tests to diagnose this problem with certainty.

Rest.

Gentle massage of the abdomen.

Adequate hydration.

Pain killers like tylenol or motrin.

All will be helpful.

Just watchfully monitor your symptoms for another few days, and if this persist, does not improve or get worse, have this evaluated by your doctor.

I would have been worried too if I were at your place, but let me reassure you that this does not sound serious at all. It is a treatable condition and carries a good prognosis with appropriate management.

It was a pleasure assisting you and thank you very much for visiting us.

My goal is to provide you with Excellent Service - if satisfied with the response, Please do not forget to Rate my service.

If you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.

Kindest Regards.