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Date of last update: 10/19/2017.

Forum Name: Chest symptoms

Question: Pain under 1st rib on right side

 Wilford Floyd - Tue Jan 23, 2007 3:27 pm

Age 63
Healthy(walks 3 miles/day)
Non Smoker
Non Drinker
No cough
Slight Fever 99.2'F
Slight Nausea
No Vomiting

Bad pain started on right side 2 weeks age, pain has migrated or is radiaded and seems to have settled just under the 1st rib to
the frount and side.
Slight when standing
bad pain when setting or laying down

Local Doctor gav Skelaxin 800mg and Darvoset 100mg for pain

NO help at all
Please Help, and tell me what could be the problem.
I can't stand this pain very well( can't sleep etc.).
 Dr. Safaa Mahmoud - Mon Jan 29, 2007 4:38 pm

User avatar Hello,

This pain could be due to:
- A muscle spasm is the cause of your symptoms.

Muscle spasm alone can cause this pain which can be an unidentified cause but in many cases is the result of inappropriate posture for long time like traveling, driving and certain types of work or from viral infection.

you mentioned that you have low grade fever and nausea, probably you have a form of mild viral infection.

Self care and avoiding the precipitating cause will lead to a gradual but clear improvement in the pain. Home treatment includes the use of Analgesics, cold or hot therapy. Rest for maximum two days is also beneficial.

If these measures fail to relief the pain or to improve symptoms in 48 hours, you should visit your doctor for better evaluation and for exclusion of other causes that need specific therapy.

- Pleurisy is an inflammation of the pleura, which is a double-layered membrane covers the lungs separating it from the rib cage. Viral infections like flu, are the most common cause of Pleurisy. The pain is felt as sharp pain which get worse by Coughing, sneezing, moving and deep breathing. auscultation of the chest shows a characteristic sound known as pleural rub.

- Sometimes chest pain is not originating from the chest itself; instead it is due to problems in the digestive tract. These problems include IBS, gall bladder disease etc.

Best regards.

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