Discomfort and Pulling Sensation Below the Ribs - Rehabilitation

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Abdominal pulling sensation?


Hello Doctor: Recently, when I lie at an angle, I feel a pulling sensation in the muscles beneath my left and right ribs, which is quite uncomfortable.
Sometimes, there is also a slight warm sensation.
I am unsure of the cause.
Could you please clarify? Thank you.

Niming, 30~39 year old female. Ask Date: 2020/12/04

Dr. Wang Zhaomin reply Rehabilitation


Based on the symptom description, it is possible that it is related to an abdominal muscle strain; however, an accurate assessment can only be made through an in-person examination.
Online consultations cannot replace an actual visit.
Please consult an orthopedic or rehabilitation specialist for a proper diagnosis and appropriate treatment.

Reply Date: 2020/12/04

More Info


Experiencing discomfort and a pulling sensation below the ribs can be concerning, and it's important to understand the potential causes and implications of these symptoms. The area below the ribs houses several vital organs, including the liver, spleen, kidneys, and parts of the gastrointestinal tract, which can all contribute to sensations of discomfort or pain.

1. Muscle Strain: One of the most common reasons for a pulling sensation in the rib area is muscle strain. This can occur due to physical activities, improper lifting, or even prolonged poor posture. If you've recently engaged in any activities that might have strained your abdominal or intercostal muscles (the muscles between your ribs), this could explain the discomfort.

2. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum. It can cause localized pain and discomfort, often exacerbated by movement or certain positions, such as lying down or twisting.

3. Gastrointestinal Issues: Conditions such as gas, bloating, or even acid reflux can cause discomfort in the rib area. If the discomfort is accompanied by changes in bowel habits, nausea, or heartburn, it may be worth considering gastrointestinal causes.

4. Organ-related Pain: Sometimes, discomfort in the rib area can be referred pain from underlying organ issues. For example, liver or gallbladder problems can manifest as pain or discomfort below the ribs. If you have any accompanying symptoms like jaundice (yellowing of the skin or eyes), dark urine, or significant changes in appetite, it would be prudent to seek medical evaluation.

5. Nerve-related Issues: Conditions such as shingles or nerve compression can also lead to sensations of discomfort or pulling in the rib area. If you notice any rash or significant changes in sensation (like tingling or numbness), this could be a factor.

6. Anxiety and Stress: Psychological factors can also contribute to physical sensations. Anxiety can manifest as muscle tension, which may lead to discomfort in various areas, including below the ribs. If you find that your discomfort correlates with periods of increased stress or anxiety, this might be a contributing factor.

Given the variety of potential causes, it is essential to monitor your symptoms closely. If the discomfort persists, worsens, or is accompanied by other concerning symptoms (such as fever, significant weight loss, or changes in bowel or urinary habits), it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies or blood tests to rule out any serious underlying conditions.

In summary, while discomfort and a pulling sensation below the ribs can arise from benign causes such as muscle strain or gastrointestinal issues, it is crucial to remain vigilant and seek medical advice if symptoms persist or worsen. Understanding your body and its signals is key to maintaining your health and well-being.

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