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I have severe chronic pain on my lower right rib. Have had…

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Hi, I have severe...
Hi, I have severe chronic pain on my lower right rib. Have had xray and ct that didn't show the cause. I have a hiatal hernia could that cause such pain. Has hurt for many months, and is getting worse. hurts to cough, sneeze or certain movements. Have taken protonix for years.
Submitted: 8 years ago.Category: Medical
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Answered in 41 minutes by:
6/12/2010
Doctor: Dr. D. Love, Doctor replied 8 years ago
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 19,827
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
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A hiatal hernia can cause pain in the lower chest, but usually this pain is not exacerbated by coughing, sneezing, or movement. A hiatal hernia can cause pain because of reflux causing inflammation or spasm of the esophagus. Pain in the lower chest that is worse with sneezing, coughing, or movement is more likely due to a musculoskeletal problem. It can be due to inflammation of the chest or a pulled muscle. Ultimately, it would require an appropriate medical evaluation to determine the exact cause. Unfortunately, the usual first-line treatment for this would be an anti-inflammatory medicine, such as ibuprofen or naproxen, but anti-inflammatory medicines can exacerbate any of the acid irritation syndromes, so should be used with caution in your case. Another option is the local application of moist heat, which may help relieve inflammation. Capsaicin is a cream that is available over the counter that also may help relieve the pain associated with inflammation.

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