[45F] Experiencing left-sided rib pain with tenderness and bloating

Patient Description

A 45-year-old female presents with a 4-day history of pain on the left side at the top of her ribs. She describes the pain as tender to the touch, bruised-feeling, and burning, which spreads out slightly. The pain, rated at a severity of 4 out of 10, worsens with deep breaths. She also reports associated bloating. The patient denies any recent injuries, difficulty breathing, shortness of breath, fever, cough, swelling, or lumps in the affected area. She has no known drug allergies, is not currently taking any medications, and has no past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, you're experiencing pain at the top of your left ribs that's tender to touch, feels bruised, and has a burning sensation. The pain spreads out a little from the top of your ribs and worsens with deep breaths. You've also been experiencing bloating. Here are some possible causes:

  • Costochondritis: This is an inflammation of the cartilage in your rib cage. The condition usually affects the cartilage where the upper ribs attach to the breastbone, causing localized chest wall pain and tenderness. The pain can be reproduced by pressing on the affected area.
  • Pleurisy: This is an 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.
  • Gastritis: This is an inflammation, irritation, or erosion of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic). Gastritis can lead to a burning pain in your upper stomach, and bloating is a common symptom.

Please note that this is not an exhaustive list of all possible conditions that might be causing your symptoms. You should consult with a healthcare provider for an accurate diagnosis.

What you can do

While waiting for your appointment with a healthcare provider, here are some things you can do to help manage your symptoms:

  • Over-the-counter pain relievers: Nonprescription nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.
  • Heat or cold: Applying a hot or cold pack to your rib area may help reduce pain.
  • Rest: Avoid activities that make your pain worse.

What you should look out for

If your symptoms worsen or if you start to experience any of the following symptoms, seek immediate medical attention:

  • Severe chest pain
  • Chest pain that radiates to your jaw, left arm, or back
  • Shortness of breath
  • Sweating
  • Nausea
  • Dizziness
  • Rapid heartbeat

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage that connects a rib to the breastbone. It causes localized chest wall pain and tenderness, often worsened by pressing on the affected area. Treatment typically involves rest, avoiding activities that worsen the pain, and taking over-the-counter pain relievers like NSAIDs.


What are the symptoms of pleurisy and how is it diagnosed?

Pleurisy is an inflammation of the pleura, the lining of the lungs and chest. It causes sharp chest pain that worsens with breathing or coughing. Diagnosis usually involves a physical exam, listening to the lungs, and imaging tests like a chest X-ray or CT scan.


Can gastritis cause rib pain and what are its common symptoms?

Gastritis can cause a burning pain in the upper stomach, which might be perceived as rib pain. Common symptoms include bloating, nausea, and indigestion. It is diagnosed through a medical history review, physical examination, and sometimes an endoscopy or breath test.


When should I seek immediate medical attention for rib pain?

You should seek immediate medical attention if you experience severe chest pain, pain that radiates to your jaw, left arm, or back, shortness of breath, sweating, nausea, dizziness, or a rapid heartbeat.


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