I have a severe pain in my left ribcage that


Q: I have a severe pain in my left ribcage that is radiating into my back it feels as tho someone iis stabbing me and it is accompanied by severe nausea


A:   Hello.
Welcome to Ask The Doctor.

I understand your concern.
I have following diagnosis for you:
1. Muscular Pain
2. Cardiac Chest pain.
3. Acid reflux.

It is important to differentiate between the all as the treatment course is entirely different.
The Muscular chest pain aggravates with movement. It is dull, diffuse and continuous in nature.
However, the Cardiac chest pain is severe and crushing in nature. It increases on activity like walking, exercising. It also radiated to left arm.

In such scenario, I would advise you to get an ECG and Chest Xray done. This will give an idea that pain is cardiac in nature or not.
If the ECG and Chest Xray are normal, the pain is probably Muscular or due to Acid reflux.
For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day.
I advise following to my patients in case of Muscular pain:
1. To do hot fomentation over the involved area 3-4 times a day.
2. To apply Diclofenac Gel locally over the involved area.
3. To take anti-inflammatory and analgesic pain killer like Ibuprofen, Etoricoxib.
On taking this treatment, this usually resolves in 5-7 days.
Share my opinion with your doctor before acting upon it.

I hope it helps.
Stay Healthy

Related Q&A

Q: Hi i m 25 years old n me n my husband had unprotected sex on the last day of my menstrual cycle ie on 25th Jan n I ha...

Q: Hi i have a slightly low thyroid and iam on medication. i recently wanted to take a amino acid blend, which includes ...

Q: Hi, i live in guyana , about two year ago i found out i have hrdorcephalus and at that time i was 20 years old, howev...

Q: Hi. This is more of a psychologist question that I would like help with. I have this friend that I'm really obsesse...

Q: I am taking Neurorubine - Forte and have experienced lack of eye focus and trembling in the arms ... is this a side a...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon