I have a lump on the bone of my right rib?
Hello doctor, I would like to ask you about something.
At the end of February, I contracted influenza type A, and I experienced severe pain in my ribs from coughing.
In mid-March, I had a chest X-ray, and the doctor said there was no issue with my rib bones; it was likely just inflammation of the surrounding muscles.
However, in the past few days, I suddenly noticed a lump on the bone of my right lower rib, and I am unsure what it could be (could it be a chondroma?).
Sometimes, when I lie flat or raise my arms, I feel some pain.
Today, I visited a family medicine doctor who said it was an enlarged and inflamed lymph node above the rib.
However, I know that lymph nodes can move, and this lump is protruding from the rib.
Should I see a pulmonologist or an orthopedic specialist for further examination? The doctor prescribed antibiotics, anti-inflammatory medication, and a medication for peripheral circulatory insufficiency.
(The pharmacist even found it strange that I was prescribed a medication for peripheral circulatory insufficiency when I went to pick it up, and now I’m hesitant to take any of the medications.)
Han, 20~29 year old female. Ask Date: 2016/05/02
Dr. Li Zhonghuai reply Surgery
Hello! If it is lymphadenitis, it is indeed advisable to try medication first.
The physician's intention is likely to increase blood circulation to the area, allowing the antibiotics to reach it more effectively.
However, it is common for sebaceous cysts to become inflamed, and excision is usually sufficient.
Sometimes antibiotics may not be effective in reducing the inflammation.
Chondroma will not cause you to have a "sudden discovery." It is recommended that if you do not improve, you should consult a general surgeon for safety.
Take care! Changhua Hospital cares about you!
Reply Date: 2016/05/02
More Info
When it comes to a bump on your rib, especially after experiencing symptoms like rib pain following an illness such as influenza, it's crucial to approach the situation with caution and seek appropriate medical advice. Based on your description, it seems you have already taken some steps by consulting with a physician and undergoing an X-ray, which ruled out any issues with the rib bone itself. However, the emergence of a new bump on your rib warrants further investigation.
From what you've shared, the bump could potentially be a swollen lymph node, especially if it is located near the rib area. Lymph nodes can become enlarged due to various reasons, including infections, inflammation, or even malignancies. Given that you had a recent respiratory infection, it is plausible that the bump is related to your body's immune response to that infection. However, the fact that it is firm and located directly on the rib raises some concerns that should not be overlooked.
You mentioned that the bump is painful when lying down or raising your arm, which could indicate that it is affecting the surrounding tissues or nerves. The pain could also be a sign of inflammation or irritation in the area. While your primary care physician has prescribed antibiotics and anti-inflammatory medications, it is essential to monitor the bump closely. If it does not improve or if it continues to grow, further evaluation is necessary.
In terms of which specialist to see, both a thoracic surgeon (chest specialist) and an orthopedic surgeon (bone specialist) could provide valuable insights. A thoracic surgeon would be more focused on the structures within the chest cavity, including the lungs, ribs, and associated soft tissues, while an orthopedic surgeon would specialize in the bones and joints. Given that your concern is specifically about a bump on the rib, starting with a thoracic surgeon might be more appropriate, as they can assess whether the bump is related to the rib or surrounding soft tissues.
Additionally, if the bump is indeed a lymph node, a thoracic surgeon can evaluate it further through imaging studies or possibly a biopsy if necessary. This is particularly important if there are any signs of systemic illness, such as fever, night sweats, or unexplained weight loss, which could indicate a more serious underlying condition.
Regarding the medication for peripheral blood circulation that you mentioned, it is understandable to feel hesitant about taking a medication that seems unrelated to your current symptoms. It is always best to discuss any concerns about prescribed medications with your healthcare provider. They can clarify the rationale behind the prescription and whether it is appropriate for your condition.
In summary, while the bump on your rib may be benign and related to your recent illness, it is essential to follow up with a specialist to ensure proper diagnosis and treatment. Keep monitoring the bump, and do not hesitate to seek further medical advice if you notice any changes or if your symptoms worsen. Your health and peace of mind are paramount, and getting a thorough evaluation will help you understand the nature of the bump and the best course of action moving forward.
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