Traditional Culture Encyclopedia - Weather forecast - How is the pain under the right rib?
How is the pain under the right rib?
Patient: sex: female age: 34 Main symptoms: symptoms: pain under the right rib. At first, I felt uncomfortable, as if something was stuck in my heart, my waist was a little sour and my back was uncomfortable. I pressed my right rib with my hand, and the most painful place was in the right rib. It's also sore to spread to the back. I always want to burp when I feel pain, and it will be more comfortable to burp or fart. Every time I get sick, it hurts the most at night. It will be better to bend your back, but it will be more painful to lie down. It will be better to sit up. If you apply it with a hot water bottle, it will relieve the pain. The right rib plaster can also relieve pain (this method was only used six months ago). It usually hurts for one night, but it will be fine the next morning. Induced disease: 1. Accidentally choking or overeating or eating hard meals while eating; 2. The weather is too cold to catch a cold; 3. Hold cold water or drink cold water in winter; 4. Working too hard and tired. Medical history: I have a medical history of about 25 years. It hurt once a few months ago, and now it's getting worse. Sometimes it hurts once every few months, sometimes once every few days. Previous treatment: Pingxiang Hospital, Jiangxi. Dongguan hospital has done gastroscopy, B-ultrasound, CT and other examinations. Nothing unusual was found. Time of onset: about 25 years. Laboratory examination results: there was a small ulcer in the stomach during gastroscopy. The situation and effect of previous treatment: only when treating stomach diseases. There is no effect after treatment. Doctor 1: Hello, you are more likely to think of stomach gas discomfort (called ulcer in western medicine). You can try Qizhi Weitong Capsule+Amoxicillin Capsule+Omeprazole. At the same time, be careful not to eat spicy food and things that are too cold. Don't be angry, it's important for you to be in a good mood. Doctor 2: Hello, your condition is chronic superficial gastritis, which is a kind of chronic gastritis. There are three types of chronic gastritis: superficial, atrophic and special. Chronic superficial gastritis refers to chronic gastritis without atrophic changes of gastric mucosa, in which chronic inflammatory cells mainly composed of lymphocytes and plasma cells are infiltrated. Helicobacter pylori infection is the main cause. Chronic superficial gastritis may become cancerous, so the diet should be light and spicy, avoid alcohol and tobacco, and the diet should be regular to avoid overeating. Drug therapy was triple therapy, omeprazole, amoxicillin and metronidazole. Stomach distension can be added with motilium orally. Doctor 3: Hello, my friend. The symptoms you describe need to consider the possibility of colon inflammation. Chronic colitis can have a long history, mainly manifested as abdominal pain, and improper diet can induce symptoms. I suggest you go to the hospital for barium enema examination. Of course, the best examination is colonoscopy, which can comprehensively observe the colon mucosa. Another possibility is kidney or ureteral calculi, but kidney calculi can generally find on CT that the pain is mainly colic, so this situation is less likely. I hope it helps you. Thank you.
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