[21F] Experiencing sharp, stabbing pain under left rib

Patient Description

A 21-year-old female reports a sharp, stabbing pain localized under the left rib, rating the pain as 7/10 in severity when moving or taking deep breaths. The pain onset was sudden, beginning approximately 10 minutes prior to reporting, and is localized to one specific spot without radiating to other areas. The patient denies any recent injuries, accidents, shortness of breath, difficulty breathing, fever, cough, changes in bowel movements, or blood in stool. Additionally, there are no other symptoms mentioned. The patient has not used any recreational drugs, alcohol, or tobacco recently and reports no past medical history of pre-existing conditions or chronic illnesses. Current medications include hydroxyzine, fluoxetine, and bupropion, though the dosage and frequency were not specified.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your pain under the left rib include:

  • Musculoskeletal pain: This is often related to physical strain or injury, and can be caused by things like poor posture, overexertion, or trauma. The pain is typically localized and may worsen with movement or deep breathing.

    • Treatment typically involves rest, application of heat or cold, and over-the-counter pain relievers.
  • Pleurisy: This is inflammation of the lining of the lungs and chest (the pleura) that leads to chest pain (usually sharp) when you take a breath or cough.

    • Treatment usually involves addressing the underlying cause, such as an infection, and may include medication to reduce inflammation and pain.
  • Costochondritis: This is inflammation of the cartilage in the rib cage, and can cause pain and tenderness in the chest that often worsens with movement or deep breathing.

    • Treatment typically involves rest, avoiding strenuous activities until you feel better, and medication to reduce inflammation and pain.
  • Gastritis: This is inflammation of the stomach lining, which can cause pain on the left side under the ribs, along with other symptoms like nausea or indigestion.

    • Treatment typically involves medications to reduce stomach acid and possibly antibiotics if an infection is present.

Please note that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

You should seek immediate medical attention if your pain is severe, if it's associated with difficulty breathing, or if it doesn't improve or worsens over time. In the meantime, you can try the following:

  1. Rest and avoid any activities that seem to make your pain worse.
  2. Apply a warm compress to the painful area to help relax your muscles and alleviate pain.
  3. Over-the-counter pain relievers, such as ibuprofen, can help with pain. However, please consult with a healthcare provider before starting any new medication.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe or worsening pain
  • Difficulty breathing or shortness of breath
  • Chest pain that radiates to your jaw, left arm, or back
  • Sweating, nausea, or vomiting associated with chest pain
  • A high fever or a persistent cough

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare provider for a formal diagnosis and treatment.

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9 mo ago

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People Also Ask


What are common causes of sharp pain under the left rib?

Common causes of sharp pain under the left rib include musculoskeletal pain, pleurisy, costochondritis, and gastritis. Each of these conditions has distinct characteristics and may require different treatments.


How can musculoskeletal pain be managed at home?

Musculoskeletal pain can often be managed at home by resting, avoiding activities that exacerbate the pain, applying heat or cold to the affected area, and using over-the-counter pain relievers like ibuprofen. However, it's important to consult a healthcare provider if the pain persists.


What symptoms indicate that I should seek immediate medical attention for chest pain?

You should seek immediate medical attention if you experience severe or worsening pain, difficulty breathing, chest pain that radiates to your jaw, left arm, or back, or if you have symptoms like sweating, nausea, vomiting, a high fever, or a persistent cough.


Can medications like hydroxyzine, fluoxetine, and bupropion cause chest pain?

While hydroxyzine, fluoxetine, and bupropion are not commonly associated with causing chest pain, side effects can vary among individuals. It's important to discuss any new or unusual symptoms with a healthcare provider to rule out medication-related causes.


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