[35M] With severe sharp pains under right rib cage and black tongue

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Gallstones or Gallbladder Disease: Sharp pain under the right rib cage, especially if it worsens after eating, can be indicative of gallstones or inflammation of the gallbladder (cholecystitis). This condition can cause severe pain and may require medical imaging like an ultrasound for diagnosis.

  • Treatment: Treatment may involve dietary changes, medications to dissolve gallstones, or surgical removal of the gallbladder.

• Gastroesophageal Reflux Disease (GERD): Heartburn and indigestion, along with pain that worsens after eating or when lying down, can be symptoms of GERD. This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus).

  • Treatment: Treatment typically includes lifestyle changes, over-the-counter antacids, and prescription medications to reduce stomach acid.

• Peptic Ulcer: A peptic ulcer is a sore on the lining of your stomach or the first part of your small intestine. It can cause sharp pain, especially when your stomach is empty.

  • Treatment: Treatment usually involves medications to reduce stomach acid and antibiotics if a bacterial infection is present.

• Black Hairy Tongue: The black appearance of your tongue with bumps could be a condition known as black hairy tongue. This is usually harmless and can be caused by poor oral hygiene, certain medications, or tobacco use.

  • Treatment: Improving oral hygiene, brushing your tongue, and avoiding tobacco and certain foods can help.

What you can do

While you should consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Dietary Changes: Avoid fatty, spicy, and acidic foods that can exacerbate your symptoms. Eating smaller, more frequent meals may also help.
2. Hydration: Drink plenty of water to stay hydrated, especially if you are experiencing digestive issues.
3. Oral Hygiene: Brush your tongue gently with a toothbrush or a tongue scraper to help with the black appearance of your tongue.
4. Over-the-Counter Medications: Antacids or acid reducers may help alleviate heartburn and indigestion.
5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe or worsening pain
• Fever or chills
• Yellowing of the skin or eyes (jaundice)
• Blood in your stool or vomit
• Difficulty swallowing or breathing

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.