Managing Rib and Stomach Pain: Tips for Better Work Efficiency - Gastroenterology and Hepatology

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Ribs and stomach?


Hello, Director Chen.
I have a question.
Whenever I stand for a long time at work, I experience pain near my right rib and stomach.
I underwent an upper gastrointestinal endoscopy at Chang Gung Memorial Hospital on April 14, and the doctor diagnosed me with gastritis.
I was prescribed medication (Gastric Mucosal Protective Agent) to take after my regular meals.
Before the endoscopy, I was given a 6-day supply, and after the procedure, I received a 21-day supply.
I've been taking the medication for almost three weeks, but the pain persists while I work.
Could you please advise me on what I should do to alleviate the pain while working? This situation is affecting my work efficiency, and I am concerned about being reprimanded.

Xiao Cai, 30~39 year old female. Ask Date: 2016/04/22

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, sir.
Please consider having another ultrasound examination and discuss it with your attending physician.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2016/04/22

More Info


Managing rib and stomach pain, especially in a work environment where standing for long periods is required, can be quite challenging. Based on your description, it seems that you have been diagnosed with gastritis and have been prescribed medication to help manage your symptoms. Here are some strategies that may help improve your situation and work efficiency:

Understanding Your Condition
Gastritis is an inflammation of the stomach lining, which can cause discomfort, pain, and a feeling of fullness. The pain you are experiencing near your ribs could be related to the gastritis or could be due to other factors such as muscle strain or even stress. It’s essential to consider both physical and emotional aspects when managing pain.


Medication Management
You mentioned that you have been prescribed "胃利贊膜衣錠" (likely a proton pump inhibitor or an H2 blocker). These medications are designed to reduce stomach acid and help heal the stomach lining. It’s crucial to take them as directed and to complete the full course of treatment. If you find that the medication is not alleviating your symptoms after a reasonable period, it may be worth discussing with your doctor about adjusting the dosage or trying a different medication.


Dietary Adjustments
1. Eat Smaller, More Frequent Meals: Instead of three large meals, try eating smaller meals throughout the day. This can help reduce the burden on your stomach and may alleviate some discomfort.

2. Avoid Trigger Foods: Certain foods can exacerbate gastritis symptoms. Common culprits include spicy foods, acidic foods (like citrus and tomatoes), caffeine, and alcohol. Keeping a food diary can help identify any specific triggers.

3. Stay Hydrated: Drink plenty of water throughout the day, but try to avoid drinking large amounts during meals, as this can increase stomach pressure.


Lifestyle Modifications
1. Posture and Ergonomics: If you are standing for long periods, ensure that your posture is correct. Stand with your feet shoulder-width apart, and try to shift your weight from one foot to the other to reduce strain. Consider using anti-fatigue mats if you are standing on hard surfaces.

2. Take Breaks: If possible, take short breaks to sit down and rest your body. This can help alleviate pressure on your stomach and ribs.

3. Stress Management: Stress can exacerbate gastrointestinal symptoms. Techniques such as deep breathing, meditation, or even short walks during breaks can help manage stress levels.

4. Gentle Exercise: Engaging in light physical activity, such as walking or stretching, can improve circulation and reduce muscle tension, which may help alleviate some discomfort.


When to Seek Further Help
If your symptoms persist despite these adjustments, or if you experience severe pain, nausea, vomiting, or any other concerning symptoms, it is essential to follow up with your healthcare provider. They may recommend further investigations, such as imaging studies or additional tests, to rule out other potential causes of your pain.


Conclusion
Managing rib and stomach pain while working requires a multifaceted approach that includes medication adherence, dietary modifications, lifestyle changes, and stress management. By implementing these strategies, you may find an improvement in your symptoms and overall work efficiency. Always consult with your healthcare provider before making significant changes to your treatment plan or lifestyle.

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