“Abdominal Pain”
I’m waking up the last two mornings with a sharp abdominal pain at or about the bottom of my rib cage radiating all the way around my body. My back and sides hurts and possibly the right side is stronger than the left. I have back issues but this seems different. When I get up and get moving around it goes away. Almost went to the ER this morning because of it. Does not hurt in my lower.
Male | 54 years old
Complaint duration: 3 days
Medications: Norco 7.5. Amitryptiline 75m gabepentin 800 m
Conditions: Good health except back issues
2 Answers
In general, any pain or symptom that is made better or worse by activity or moving around is unlikely to be GI related. Still possible, but not likely. That would make this pain more likely "musculoskeletal" in nature. If it were to be GI related, the two most likely causes would be gallbladder or pancreas. Gallbladder pain is classically located in the upper right abdomen underneath the rib cage and can radiate to the upper right back. Pancreas related pain is usually located in the upper center of the abdomen and can radiate straight through to the back. Kidney stones are also a possibility. It is likely that these symptoms will get better over time without doing anything specific to treat them. Be sure to see your doctor or provider if the symptoms persist.
This sounds like a thoracic musculoskeletal problem, not a GI problem. A good physical exam and thorough history should be able to identify the problem.
