Rib issues
Hello doctor: I have a question.
I don't have a fracture, but when I lie flat and then get up, I experience pain behind my lower ribs on both sides.
Coughing and sneezing also cause pain in my lower ribs on both sides, and I feel a bit of pain all over my body.
What could be the cause?
Awei, 30~39 year old female. Ask Date: 2021/07/02
Dr. Zhan Xian reply Orthopedics
Hello, Avi.
Your symptoms require further examination.
Please visit the orthopedic outpatient clinic.
Reply Date: 2021/07/02
More Info
Rib pain can be a complex issue, and understanding its causes is essential for determining when to seek medical help. The pain you are experiencing, particularly when lying down, coughing, or sneezing, can be attributed to several potential causes.
Firstly, rib pain can arise from musculoskeletal issues. This includes muscle strains or ligament sprains, which can occur due to overexertion, awkward movements, or even prolonged periods of inactivity. If you've recently engaged in physical activities that involve twisting or heavy lifting, this could lead to muscle strain around the rib cage. Additionally, conditions like costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum, can cause localized pain that may worsen with movement or certain positions.
Another possibility is that your rib pain could be related to issues with the spine. Conditions such as herniated discs or spinal stenosis can lead to referred pain in the rib area. If the nerves that exit the spine are compressed or irritated, it can manifest as pain in the ribs or back.
In some cases, rib pain can also be associated with respiratory issues. Conditions such as pleurisy (inflammation of the lining of the lungs) or pneumonia can cause sharp pain in the rib area, especially when taking deep breaths, coughing, or sneezing. If you are experiencing any respiratory symptoms, such as difficulty breathing, fever, or a persistent cough, it is crucial to seek medical attention.
Given that you mentioned experiencing pain all over your body, it’s also worth considering systemic conditions. Conditions like fibromyalgia can cause widespread pain, including in the rib area.
When to seek medical help is a critical consideration. If your rib pain is severe, persistent, or worsening, or if you experience additional symptoms such as difficulty breathing, fever, or significant swelling, it is essential to consult a healthcare professional. They may perform a physical examination, imaging studies like X-rays or CT scans, and possibly blood tests to determine the underlying cause of your pain.
In summary, rib pain can stem from various causes, including musculoskeletal issues, spinal problems, respiratory conditions, or systemic diseases. If your symptoms persist or worsen, seeking medical advice is crucial for proper diagnosis and treatment. Early intervention can help manage pain effectively and address any underlying conditions that may be contributing to your discomfort.
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