[56M] Experiencing localized left-sided rib pain

Patient Description

A 56-year-old male presents with a 3-week history of dull, localized pain in the middle left ribs, rated as a 5 out of 10 in severity. The pain is exacerbated by deep breathing, coughing, laughing, and sneezing, and the area is sore to touch. No associated symptoms of shortness of breath, chest tightness, swelling, or redness are reported. The patient has a significant past medical history of tuberculosis 40 years ago but is currently not on any medications and reports no allergies. There have been no recent injuries or incidents that the patient can recall which might have caused the pain.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your rib pain:

  • Costochondritis: This is inflammation of the cartilage that connects a rib to the breastbone (sternum). It causes pain and tenderness in the area where your rib and breastbone connect, which can worsen with deep breaths, coughing, laughing, and sneezing.

    • Treatment typically involves over-the-counter pain relievers such as ibuprofen or naproxen. In some cases, your doctor might recommend physical therapy or exercises to stretch your ribcage.
  • Rib Fracture: Although you didn't mention a specific injury, a rib fracture could cause localized pain that worsens with deep breaths or movement. Given your age, even a minor fall or injury could result in a rib fracture.

    • Treatment for a rib fracture usually involves pain management and avoiding activities that could worsen the injury. In severe cases, surgery might be necessary.
  • Pleurisy: This is inflammation of the tissues that line the lungs and chest cavity. It can cause pain that worsens with breathing, coughing, or sneezing.

    • Treatment for pleurisy involves addressing the underlying cause, which could be an infection, autoimmune disease, or other condition.

Please note that these are potential causes based on your symptoms and should not be used as a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Apply a warm compress to the painful area to help relieve discomfort.
  2. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help reduce pain and inflammation.
  3. Avoid activities that worsen your pain, such as strenuous exercise or heavy lifting.
  4. Practice deep breathing exercises to help reduce the risk of lung infections, especially if the pain is making you take shallow breaths.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Severe chest pain
  • Trouble breathing or shortness of breath
  • Pain that spreads to your back or up your neck
  • High fever or chills
  • Coughing up blood

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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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, causing pain and tenderness in the chest area. It is typically treated with over-the-counter pain relievers like ibuprofen or naproxen, and sometimes physical therapy or exercises to stretch the ribcage.


Can rib pain be a sign of a rib fracture even without a recent injury?

Yes, rib pain can be a sign of a rib fracture even without a recent injury, especially in older adults where minor falls or injuries might not be remembered. Pain management and avoiding activities that could worsen the injury are common treatments.


What is pleurisy and what are its common causes?

Pleurisy is an inflammation of the tissues that line the lungs and chest cavity, causing pain that worsens with breathing, coughing, or sneezing. It can be caused by infections, autoimmune diseases, or other conditions, and treatment involves addressing the underlying cause.


What are some home remedies to manage rib pain?

Home remedies for managing rib pain include applying a warm compress to the painful area, taking over-the-counter pain relievers like ibuprofen or acetaminophen, avoiding activities that worsen the pain, and practicing deep breathing exercises to prevent lung infections.


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