Right Lower Rib Pain: Causes and When to Seek Help - Neurosurgery

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Right lower rib pain can be a perplexing symptom, especially when it occurs intermittently and is accompanied by other discomforts such as stiffness in the lower back. Given your description, it’s important to consider several potential causes for this pain, as well as when to seek further medical attention.


Possible Causes of Right Lower Rib Pain
1. Musculoskeletal Issues: One of the most common causes of rib pain is musculoskeletal strain. This can occur due to activities that involve heavy lifting, twisting motions, or even prolonged poor posture. If you have engaged in any physical activities that could have strained your muscles or ligaments around the rib cage, this might explain your pain.

2. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum. It can cause sharp pain in the rib area, which may worsen with certain movements or when taking deep breaths.

3. Gastrointestinal Problems: Conditions such as gallbladder disease, gastritis, or even peptic ulcers can cause referred pain to the rib area. If the pain is associated with eating, changes in bowel habits, or other gastrointestinal symptoms, this could be a consideration.

4. Kidney Issues: Pain in the lower rib area can sometimes be related to kidney problems, such as kidney stones or infections. If the pain is accompanied by changes in urination, fever, or back pain, this could warrant further investigation.

5. Nerve-related Pain: Conditions like intercostal neuralgia, where the nerves running between the ribs become irritated, can also cause sharp, shooting pain in the rib area.


When to Seek Help
Since you mentioned that you have already undergone a chest CT scan which showed no significant issues, this is a good first step in ruling out serious conditions such as fractures or tumors. However, if you experience any of the following, it is advisable to seek medical attention:
- Severe Pain: If the pain becomes unbearable or is accompanied by other severe symptoms such as difficulty breathing, chest pain radiating to the arm or jaw, or sudden weakness.

- Persistent Symptoms: If the pain persists beyond a few weeks or worsens over time.

- Accompanying Symptoms: If you develop additional symptoms such as fever, chills, changes in bowel or urinary habits, or unexplained weight loss.

- Mobility Issues: If you find it difficult to move or if the pain limits your daily activities significantly.


Recommended Specialists
Given your symptoms, you may want to consult with a few different types of specialists:
- Primary Care Physician: They can perform a thorough examination and may refer you to a specialist if necessary.

- Orthopedic Specialist: If musculoskeletal issues are suspected, an orthopedic doctor can provide insights and treatment options.

- Gastroenterologist: If gastrointestinal issues are suspected, this specialist can evaluate and treat any underlying conditions.

- Urologist: If kidney-related issues are a concern, a urologist can provide the necessary evaluation.


Conclusion
In summary, while your right lower rib pain could be due to a variety of causes, the fact that you have had a CT scan that returned normal results is reassuring. However, if your symptoms persist or worsen, it is important to follow up with a healthcare provider. They can help determine the underlying cause and recommend appropriate treatment options. Always listen to your body, and do not hesitate to seek help if you feel something is not right.