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Dr. Abby
Dr. Abby, US Board Certified MD
Category: Medical
Satisfied Customers: 10330
Experience:  Family Physician practicing medicine for over 10 years, United States
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I have had a stitch like pain under my right rib for 3 days

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i have had a stitch like pain under my right rib for 3 days now and it is hard to take a deep breath at times also i have been feeling nauseous and fatigued and have had a lot of heart burn sometimes the pain can feel like being stabbed and a tight feeling in the chest is also present it radiates to my back and right shoulder blade area. Is this acid and heartburn related? should i see my doctor? can gall bladder attacks last 3 days?
Hello Boggle,

Do you have any cough? Shortness of breath? Fever?
Are you on any daily medications?
Does anything make the pain better?
Any diarrhea?

Dr Abby
Also, when was your last menstrual period?
Customer: replied 7 years ago.

no cough, breathing shallowly makes the pain better i have not tried any pain medication. no diarrhea, no fever, shortness of breath sometimes on exertion ie up a flight of stairs and a little extra sweating. I have had dizzy spells also this week but the fatigue heartburn and the stitch like pain under the bottom of my right rib are the main symptoms.

i am on the imlanon implant which was newly replaced 10 days ago and i have had no periods for around 3 years due to this

Thank you for the additional information-
The stitch like pain, pain radiating to the back and right shoulder blade along with the nausea could be gallbladder related. Usually, if there is any type of pain in the abdomen radiating to the shoulder blade, it can be a sign of irritation of the diaphragm (gallbladder being one of the more common causes) so I would recommend that you follow up with your doctor to check this out.

The stitch could also be a sign of muscle cramping in between the rib or pleurisy which is usually due to a viral infection of the lining of the lungs. This causes a sharp pain that is worse with deep breathing. Treatment for this condition is anti-inflammatories such as ibuprofen. I would still recommend that your doctor diagnose this though.

I would not expect simple heartburn to cause pain on the right side of your abdomen or under the right side of the ribs. Typically, it will cause some pain in the left or center of the upper abdomen, radiating into the chest. While it sounds like you are also having heartburn, I do not think it is solely responsible for all of your symptoms. You can try taking over the counter omeprazole or zantac for the heartburn symptoms.

So, to sum up, I would see your doctor for evaluation of the right sided pain. It may be gallbladder related, pleuritic pain (inflammation due to a virus) or muscle spasms, to name a few causes.

I hope this is helpful information for you. If you have any other questions or would like to discuss further, let me know.
Dr Abby
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