[60F] Experiencing sharp intermittent pain under left ribcage

Patient Description

A 60-year-old female has been experiencing sharp, intermittent pain under her left ribcage for a week, with a severity of 8 out of 10. The pain is not associated with meals and there has been no injury to account for it. The patient has a history of heart disease diagnosed 5 years ago and is currently on Bumex, Xarelto, Jardiance, and Metoprolol. There are no known allergies to medications, and no other symptoms such as changes in bowel movements, nausea, vomiting, or difficulty swallowing have been reported.

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Arora's Assessment

What might be happening

Based on the information provided, possible causes for your pain under the left ribcage include:

  • Gastritis or Peptic Ulcer Disease: Inflammation or erosion of the stomach lining can cause sharp, intermittent pain. However, these conditions are often associated with other symptoms like nausea, vomiting, or changes in appetite, which you have not reported.

    • Treatment typically involves medications to reduce stomach acid and protect the stomach lining.
  • Costochondritis: Inflammation of the cartilage in the rib cage. It often results in localized chest pain that can be sharp and worsen with deep breaths or physical activity.

    • Treatment typically involves pain relievers and physical therapy.
  • Heart-related issues: Given your history of heart disease, it's important to consider that your pain could be related to your heart, such as angina or even a heart attack. However, these conditions usually cause pain that feels like pressure or tightness, not sharp pain.

    • Treatment depends on the specific heart condition and can range from lifestyle changes and medications to surgery.
  • Spleen issues: The spleen is located under the left rib cage and conditions affecting the spleen (like an enlarged spleen or a spleen injury) can cause pain in this area. However, these conditions are often associated with other symptoms, which you have not reported.

    • Treatment depends on the specific spleen condition and can range from observation to surgery.

What you can do

Given the severity of your pain and your history of heart disease, it's important to seek immediate medical attention. While the pain you're experiencing might not be related to your heart, it's better to be safe and get checked out right away.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Chest pain or pressure
  • Shortness of breath
  • Pain that spreads to your shoulder, neck, back, or jaw
  • Dizziness, fainting, sweating, or nausea along with the pain
  • Pain that worsens with physical activity or stress

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

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11 mo ago

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People Also Ask


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

Common causes of sharp pain under the left ribcage include gastritis or peptic ulcer disease, costochondritis, heart-related issues, and spleen problems. Each condition has specific symptoms and requires different treatments.


How can heart disease affect pain under the ribcage?

Heart disease can cause pain under the ribcage if it is related to conditions like angina or a heart attack. This pain is usually described as pressure or tightness rather than sharp pain, but given a history of heart disease, any new or severe pain should be evaluated by a doctor.


What is costochondritis and how is it treated?

Costochondritis is the inflammation of the cartilage that connects a rib to the breastbone. It causes localized chest pain that can be sharp and worsen with deep breaths or physical activity. Treatment typically involves pain relievers and physical therapy.


When should I seek immediate medical attention for ribcage pain?

You should seek immediate medical attention if you experience chest pain or pressure, shortness of breath, pain that spreads to your shoulder, neck, back, or jaw, dizziness, fainting, sweating, or nausea along with the pain, or if the pain worsens with physical activity or stress.


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