Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

I was diagnosed with costochondritis a week ago after

Customer Question
I was diagnosed with...

I was diagnosed with costochondritis a week ago after working out. I have had it several timessage since being a kid. I'm 26 now. The pain is so bad I can't breathe, lift my arm, or pull myself up to sit. I can't take anti inflammatory escort or Tylenol due to allergies and ulcers. What do I do

Doctor's Assistant: What medications do you take daily? Are you allergic to any medications?

Metoprolol for migraines Robaxin Prozac And I'm allergic to Tylenol and NSAID and steroids and a bunch of migraine meds like Tristan and dhe

Submitted: 1 year ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 6 minutes by:
3/21/2017
Doctor: Dr. Captain, Board Certified Physician replied 1 year ago
Dr. Captain
Dr. Captain, Board Certified Physician
Category: Medical
Satisfied Customers: 782
Experience: I have specialized in common problems for men, women, children, and the elderly.
Verified

Hello!

Welcome to the JustAnswer.com question/answer interface.

I am a Family Medicine doctor, board certified with active licenses and certification in Internal Medicine, Pediatrics, Obstetrics and Gynecology, as well as Integrative Medicine & Naturopathy, with advanced training in Neurology, Cardiovascular Medicine, Gastroenterology, Endocrinology, and Psychiatry. I am also well-trained in Functional Medicine. So far, 99% of the justanswer community of patients has found my answers helpful, and I have the honor of being the highest rated clinician on the site! I will do my best to win over your approval as well.

— For your review, here is my direct link with my current ratings: http://www.justanswer.com/medical/expert-familydoctor/

— I have read your post and observations about your costochondritis. I'm so sorry! What an awful feeling, pain so bad you can't breathe! That sounds really horrible. I’m interested to hear a little more about what you've been experiencing, but first, I'm curious - For the purposes of the dialog here, would you prefer that I provide you with a direct, summary response to your post, or would you prefer a more back-and-forth approach, where there will be a series of more questions and more details clarified? There is no difference in charges for your preference. You can continue to ask questions and receive answers without additional charges.

— In case you were not aware, there is no charge for the time it takes for us to reach an answer that meets your satisfaction. If you’d like a quick answer, I’m more than happy to provide that. On the other hand, if you’d like a more detailed response, I generally try not to rush any answers, and I hope you will not feel rushed either.

- Either way, the goal is for your satisfaction, and I’ll do my best to take the appropriate time to help you.

Ask Your Own Medical Question
Customer reply replied 1 year ago
I do not mind answering more questions.
Doctor: Dr. Captain, Board Certified Physician replied 1 year ago

Great! first of all - would you like me to list a review of all the basic options you have available to cover for pains consistent with costochondritis?

Ask Your Own Medical Question
Doctor: Dr. Captain, Board Certified Physician replied 1 year ago

Here is a review of the basics, just to make sure the foundations are covered.

1- consider keeping a written journal of what is going on, what the experience is like. It doesn't have to be long or wordy, but it will be helpful (to you and to a healthcare provider that could review the journal later) to have information about the timing of the feelings, what makes it better or worse, if anything you're doing (or medications you're taking) effect it - either for better or worse, and what else might be going on (end of a work day, or spending long hours on your feet, feeling stressed out, just ran a block, etc.) Oftentimes, small details that are sometimes difficult to recall after the fact, can be vital to finding a way to treat the greater concerns. Plus, reviewing these kinds of things can help point out that things are getting better, and that is reassuring and helps with reduction of harmful stress hormones too.

2- consider increasing the amount of full body stretching and exercise that is included in a daily, regular routine. Even if that’s already part of the daily (or weekly) schedule, perhaps there are little bits that could be added? A few extra minutes here or there? Stretching in the shower, marching while you brush your teeth, sitting up straight more throughout the day, etc. Increases in exercise can not only lower blood pressure, but can also reduce internal stress and anxiety, and these may help improve the illness. There was a recent article that describes the health benefits of exercise very well. We in medicine sometimes like to think we know the human body better than nature, but truthfully, exercise is still almost always the best medicine. Here is the article, if you’re curious: http://mobile.nytimes.com/blogs/well/2013/12/11/exercise-as-potent-medicine/?_r=1

3- consider trying out different shoes. In-soles can sometimes help improve the support your foot and leg receives, and this can improve pain in some people. These have remarkable down-stream effects that are hard to suspect unless you read the data.

4- consider rolling your foot over a frozen 2-liter bottle. Ice can sometimes provide relief for painful feet.This will also help stretch tense muscles in the feet, so serves 2 purposes at the same time.

5- some people choose medications to help alleviate pain. Although I tend to view pain as important signal that your body is giving you that something is wrong or needs improvement (and therefore not something that you necessarily want to stop or turn off), some medications such as Tylenol and Ibuprofen are (generally) safe medications you can try at home, provided you are following the general guidelines of use, and there are no contraindications to you taking the medications. Over time, and when combined with the active stretching and exercises I refer to in #2, these medications have been shown to significantly improve range of motion, function, and quality of life.

6- The field of western medicine and medications are sometimes helpful, they are also sometimes not. I would recommend considering some alternative approaches to health . Although many doctors think that medicine is the "be-all" and "end-all" there are whole disciplines that are practiced throughout the world, even today, that don't view illness or treatment the same way, and they have many sick (and improving) patients, much like the Western world. Acupuncture, for example, has helped many people with anxiety and difficulty with blood pressure. Massage, Yoga, even improving nutrition can have very real, measurable effects on your health. Your local doctor is the best resource to help direct you to what would be most appropriate, but if you feel adventurous, the internet is always full of resources that can help guide you to more information, too.

consider adding a little extra de-stressing to the daily routine. Modern life is powerfully stressful, even when we aren't aware of it. Stress, even in small amounts, produces Cortisol in the body, and this can wreak havoc to the the system and a body’s natural internal ecosystem. We are built to tolerate small amounts of stress, once in a while, but not the kinds of stress that many normal people experience - every single day.

7- Meditation can be a tremendous resource for anxiety/pain relief. It has been a useful practice for thousands of years in the East, and millions find it helpful in their daily use even today. Meditation can mean different practices for different individuals. For some, it involves peaceful sitting and focused attention on breathing, without outside distraction, where someone can simply observe ones breathing, and monitor the racing thoughts that may come and go. This can be a way of teaching your body how to insert some degree of calm into your daily experience, and over time it can be a valuable lesson that becomes easier and easier to insert into your daily routine for regular relief. For some others, meditation comes in the form of a relaxing daily walk, where they can similarly distract themselves from daily stressors, and instead enjoy some peace and quiet, perhaps thinking calmly, or enjoying the natural environment around them. These days, there are countless resources available for help with discovering what type of meditation would be the best match for you.

8- Nutrition is a much underestimated source of trouble for us all these days. Did you know that after you eat a meal, your body’s sugar levels spike? This is true, of course, more so when meals are high in simple sugars, carbohydrates, fats, but also true of almost all meals. Once those sugars are processed, either by storage or use, that spike of increased levels of sugars falls very quickly, and can make us feel tired, without energy, even to the point of feeling depressed and hopeless. On the other hand, some foods can help us feel energized, excited/happy, even push us toward being positive and focused. There is a sizable body of literature that shows us the healthy, healing power of good nutrition, and just as much that warns us of the terrible effects of bad nutrition. Mst of us don't eat the foods we should to keep our immune systems optimally healthy. Eating a good serving of the national daily recommended foods (http://fnic.nal.usda.gov/dietary-guidance/dietary-reference-intakes/dri-tables) is essential. Without appropriate food, your body will "make do,” and can make a healthy immune system that much weaker.

9- Perhaps above all else, the basics of sleep and water can be the most needed, and most neglected, solutions. Almost irrespective of your daytime demands, and without regard to individual differences, we all need at LEAST 8 hours a night. This has been proven time and time again, in fact - especially - for the people who think they can do with less. if we are not getting that much, we are not only poorly arming ourselves to fight illnesses naturally, but we setting ourselves up for not only more prolonged, sometimes worse illness. Water is also a vital part of staying healthy. Someone who is having yellow urine during the day (except for the first of the day, that one can be yellowish), is most likely dehydrated, and also an easy set up for prolonged illness. Urine, after the first of the day, should be clear, like water. One should be drinking more and more water, until urine is clear. That’s a simple way to measure enough water intake. Simply put, water is very much like the oil of a car. No matter what else may be wrong, without the oil topped up, you’re bound to have troubles that are hard to move beyond.

In addition to the basics I've described here, you may want to ask your doctor about the role of neuroleptic, SSRI/tricyclic, and barbiturate or benzodiazepine medications for your specific pains. There are some medications that may help, which obviously I wouldn't be able to comment on, in my position here as an internet-based advisor.

Ask Your Own Medical Question
Doctor: Dr. Captain, Board Certified Physician replied 1 year ago

with costochondritis, the use of antiinflammatories can't be undervalued. many patients find them very helpful with easing into the longer-term benefits of exercise and stretching

Ask Your Own Medical Question
Customer reply replied 1 year ago
At this point I can't even stretch it's too painful to move. Despite not bring allowed by my GI doc to take anti inflammatories I've tried them but my pain has just gotten worse. I just don't know what to do. I'm afraid to go back to a doctor just to be told too bad so sad...
Doctor: Dr. Captain, Board Certified Physician replied 1 year ago

oh my! that is horrible!

Ask Your Own Medical Question
Doctor: Dr. Captain, Board Certified Physician replied 1 year ago

Is medical use of marijuana legal where you are?

Ask Your Own Medical Question
Customer reply replied 1 year ago
but not something I would use
Doctor: Dr. Captain, Board Certified Physician replied 1 year ago

ok. are there methods of pain relief that are acceptable to you?

Ask Your Own Medical Question
Customer reply replied 1 year ago
Hey just wanted to let you know that my rib is most likely fractured right in a spot that's difficult to read on an x-ray. So the urgent care doctor wants to treat it as a fracture.
Doctor: Dr. Captain, Board Certified Physician replied 1 year ago

Oh no!! That must be so painful!

Ask Your Own Medical Question
Was this answer helpful?
Ask Family Physician Your Own Question
Family Physician
Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2,592
2,592 Satisfied Customers
Experience: Emergency Medicine and Family Practice for over 26 years

Family Physician is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,786 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,934 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

15,787 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor

13,764 satisfied customers

MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

< Previous | Next >

Related Medical Questions
Is a creatinine of 1.26 very high and what does that mea?
Is a creatinine of 1.26 very high and what does that mea?… read more
Ken
Ken
Post-Doctoral Degree
5,285 satisfied customers
I just had some blood work done, my creatinine level is 1.23
I just had some blood work done, my creatinine level is 1.23 and my eGFR is 49. Don't know what eGFR is. There is also a note on the results that I don't understand. "a persistent eGFR 59 mL/min/1.73 … read more
khagihara
khagihara
Post-Doctoral Degree
5,119 satisfied customers
I have heavy periods. However, today I am bleeding so
I have heavy periods. However, today I am bleeding so heavily that I am a little scared. How can I tell whether or not I should go to the emergency room?… read more
Dr. Mark
Dr. Mark
private practice of Internal Medicine
Doctoral Degree
3,466 satisfied customers
Is there a diet or guideline to lower blood pressure? I
Is there a diet or guideline to lower blood pressure ? I don't want to go back on pills ! … read more
Dr. Greg
Dr. Greg
Residency
241 satisfied customers
Will contrave interact with blood pressure meds and
Will contrave interact with blood pressure meds and antiinfkamatories? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,787 satisfied customers
At what blood pressure sure one become considered.
Second opinion] at what blood pressure sure one become considered… read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
407 satisfied customers
Information on Hernia treatment. Blood pressure; blood
information on Hernia treatment JA: Have you seen a doctor about this yet? What medications are you taking? Customer: blood pressure; blood hinner JA: Is this consistent, or is there some fluctuation … read more
Dr. Greg
Dr. Greg
Residency
241 satisfied customers
What is the best blood pressure for an 80 year woman that is
What is the best blood pressure for an 80 year woman that is still very active and walks about two miles - three times a week? … read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
407 satisfied customers
Having an issue with my blood pressure. Not on any
had a full physical about a year ago all was fine around 140 went to dentist today 171 … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,385 satisfied customers
My blood pressure is 80 over 41, My blood pressure is 80
My blood pressure is 80 over 41 JA: What are your symptoms? Have you used any medication for this? Customer: My blood pressure is 80 pic JA: Have you seen a doctor about this? Customer: My lasortin wa… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
Blood pressure Ned's only slightly lower my blood pressure
Blood pressure Ned's only slightly lower my blood pressure to 180/95.. What else can I do? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,787 satisfied customers
I take blood pressure pills which controls my blood pressure
I take blood pressure pills which controls my blood pressure pretty well.. Today I feel light headed and pulse is up .. My blood pressure is 157.. Is there something I can eat or do that will bring it… read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
816 satisfied customers
I just accidently took my AM does of Diovan 320 mg this
Good evening, I just accidently took my AM does of Diovan 320 mg this evening. Do I have a problem and need to seek medical care? Regards, JLH… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,934 satisfied customers
I recently recieved test results of 46 SGOT, 57 SGPT, 12.0
I recently recieved test results of 46 SGOT, 57 SGPT, 12.0 MPV and and RDW of 15.3 - how concerned should I be with these results and what should my next step be?… read more
Dr. Shah
Dr. Shah
MD
3,989 satisfied customers
I normally take 20 mg of lisinopril. I accidentally took
I normally take 20 mg of lisinopril. I accidentally took double dose. What should I do?… read more
Dr. C.
Dr. C.
Medical Director
Doctoral Degree
1,452 satisfied customers
My blood culture result yielded moderate growth of staph
my blood culture result yielded moderate growth of staph aureus how do i get rid of it.… read more
HouseDoc
HouseDoc
Attending Neurologist
Doctoral Degree
1,313 satisfied customers
I took 2 metoprolol tart 50 mg by mistake tonight its
I took 2 metoprolol tart 50 mg by mistake tonight its freaking me out i take it for aFib im 23 235lbs 6'2" i would like to remain awake till it wears of. am i in danger? how long will it take till im … read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,934 satisfied customers
I have just concluded a course of CARMETIC 5mg, three a day
I have just concluded a course of CARMETIC 5mg, three a day for 10 days. However , on my last day I experienced a few dizzy spells that I didn't experience for the 10 days. and I was lying still at th… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x