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"Pain under the right ribcage can be a confusing symptom because there are so many possible causes," says Dr. David Cutler, MD, a board-certified family medicine physician at Providence Saint John ...
Pain on the right side of the abdomen under the ribs is a common complaint. We’ve all felt it at some point. The pain may be sharp or dull. Perhaps it was sudden or slowly crept up on you.
Though these enzymes can help reduce gas and belching, they may not always reduce bloating. [14] Other over-the-counter formulas recommended for bloating include simethicone and activated charcoal. Probiotics are also used to treat bloating based on the theory that improved gut flora will improve digestion and lessen gas generation. [15]
The precise cause of ETAP is unclear. Proposed mechanisms include diaphragmatic ischemia (insufficient oxygen); stress on the supportive visceral ligaments that attach the abdominal organs to the diaphragm; gastrointestinal ischemia or distension; cramping of the abdominal musculature; ischemic pain resulting from compression of the celiac artery by the median arcuate ligament under the ...
Treatment is usually via reassurance, as the pain generally resolves without any specific treatment. Occasionally it goes away after a couple of breaths. [1] The pain is agitated by expansion and contraction of the chest. Taking a deep breath and allowing the rib cage to fully expand can relieve the pain, however it will feel unpleasant initially.
In intestinal perforation, gas may be visible under the diaphragm on chest x-ray while the patient is in an upright position. While x-ray is a fast and inexpensive to screen for perforation, an abdominal CT scan with contrast is more sensitive and specific for establishing a diagnosis as well as determining the underlying cause. [ 19 ]
Another treatment is simethicone, an oral anti-foaming agent that helps the body to expel the gas more quickly. Combinations of prokinetics , such as domperidone + metoclopramide + diphenhydramine (the latter for the prevention of extrapyramidal reactions, especially acute dystonic reactions) + proton pump inhibitors (PPIs), have dramatic ...
A hiatal hernia or hiatus hernia [2] is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. [1] [3] This may result in gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR) with symptoms such as a taste of acid in the back of the mouth or heartburn.