Left lower rib cage
Hello Doctor, since I was diagnosed with COVID-19 in mid-last month, I have been experiencing discomfort from my lower left rib to the side ribs.
Sometimes it feels tight, and other times it feels like a dull pain.
The condition fluctuates; some days I feel no pain at all, while other days I experience pain throughout the day.
I also feel more uncomfortable when lying down.
What could this issue be? Would it be appropriate to see a pulmonologist?
Miss Wang, 30~39 year old female. Ask Date: 2022/08/23
Dr. Wang Lanfeng reply Pulmonology
Hello: Based on your description, your symptoms are non-specific manifestations, making it difficult to determine the underlying cause.
If your symptoms persist, you may want to visit a pulmonology clinic for further evaluation.
Thank you.
Reply Date: 2022/08/23
More Info
Left lower rib pain following a COVID-19 infection can be concerning, especially if the discomfort persists or fluctuates in intensity. Given your symptoms, it’s essential to understand the potential causes and when to seek specialized care.
Possible Causes of Left Lower Rib Pain After COVID-19
1. Musculoskeletal Pain: One of the most common causes of rib pain is musculoskeletal strain. COVID-19 can lead to prolonged periods of inactivity or altered body mechanics due to fatigue or respiratory distress, which may result in muscle tension or strain around the rib cage. This could explain the tightness and discomfort you are experiencing.
2. Pleuritis or Pleurisy: Inflammation of the pleura, the membranes surrounding the lungs, can occur after respiratory infections, including COVID-19. This condition can cause sharp pain that worsens with breathing, coughing, or movement. If your pain is sharp and worsens with deep breaths, this could be a possibility.
3. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum. It can cause localized pain that may mimic heart or lung issues. This condition can be exacerbated by viral infections.
4. Post-COVID Syndrome: Some individuals experience lingering symptoms after recovering from COVID-19, known as post-acute sequelae of SARS-CoV-2 infection (PASC). This can include a variety of symptoms, including chest pain, fatigue, and musculoskeletal discomfort.
5. Gastrointestinal Issues: Sometimes, rib pain can be referred from gastrointestinal problems, such as gastritis or issues with the spleen. If you have accompanying symptoms like nausea or changes in bowel habits, this could be a factor.
When to Seek Chest Specialist Care
You should consider consulting a chest specialist (pulmonologist) if:
- Persistent Pain: If the pain persists for more than a few weeks without improvement.
- Worsening Symptoms: If the pain worsens, especially if it becomes sharp or is accompanied by difficulty breathing, coughing up blood, or fever.
- New Symptoms: If you develop new symptoms such as shortness of breath, significant fatigue, or any neurological symptoms (like confusion or persistent headaches).
- Impact on Daily Life: If the pain significantly affects your daily activities or quality of life.
Diagnostic Steps
A chest specialist may recommend several diagnostic tests, including:
- Chest X-ray: To rule out any structural issues or infections in the lungs.
- CT Scan: This can provide a more detailed view of the chest and help identify any abnormalities.
- Pulmonary Function Tests: To assess lung function, especially if you are experiencing shortness of breath.
Conclusion
While rib pain after COVID-19 can often be attributed to musculoskeletal issues or inflammation, it is crucial to monitor your symptoms closely. If your discomfort persists or worsens, seeking the advice of a chest specialist is a prudent step. They can help determine the underlying cause of your pain and recommend appropriate treatment options. In the meantime, consider gentle stretching, over-the-counter pain relief, and maintaining good posture to alleviate discomfort. Always prioritize your health and do not hesitate to seek medical attention if you feel it is necessary.
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