Sharp Pain Under Right Rib: When to Seek Medical Help - Neurology

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Sharp pain between the right chest and the ribs?


Hello, doctor.
I experience intermittent sharp pain at the junction of my ring finger and palm, as well as between my right chest and ribs.
It feels like being pricked by a needle, and often occurs simultaneously.
The pain lasts about a minute and can happen multiple times before it stops.
The frequency is approximately once a week.
Which specialty should I consult? Thank you.

Rachel, 30~39 year old female. Ask Date: 2023/06/01

Dr. Cai Zongzhang reply Neurology


Hello Rachel: The symptoms mentioned may indicate a cervical spine nerve disorder.
It is recommended to visit a neurology clinic for an examination to confirm the cause.

Reply Date: 2023/06/01

More Info


Experiencing sharp pain under the right rib and in the area where the ring finger meets the palm can be concerning, especially given the intermittent nature and frequency of these symptoms. Based on your description, it is advisable to seek medical attention to determine the underlying cause of your pain.

The pain you are experiencing could be related to several potential issues. The sharp, stabbing sensation under the right rib could indicate a problem with the organs located in that area, such as the liver, gallbladder, or even the diaphragm. Conditions such as gallstones, liver inflammation, or even muscle strain can manifest as pain in this region. Additionally, nerve-related issues, such as intercostal neuralgia, could also be a possibility, especially if the pain radiates or is sharp in nature.

The pain in your hand, particularly at the junction of the ring finger and palm, could be related to a variety of conditions as well. It might be due to nerve compression, such as carpal tunnel syndrome or ulnar nerve entrapment, especially if you notice any numbness or tingling in the fingers. Alternatively, it could be a sign of a repetitive strain injury, particularly if you engage in activities that require extensive use of your hands.

Given the complexity of your symptoms, it would be prudent to start with a visit to a primary care physician or a general practitioner. They can perform a thorough evaluation, including a physical examination and possibly some initial diagnostic tests, such as blood work or imaging studies, to rule out any serious conditions. Depending on their findings, they may refer you to a specialist, such as a neurologist for nerve-related issues or a gastroenterologist for concerns related to the abdominal organs.

In the meantime, it may be helpful to keep a diary of your symptoms, noting when they occur, their duration, and any activities that seem to trigger or alleviate the pain. This information can be invaluable for your healthcare provider in diagnosing the issue.

If you experience any of the following symptoms, you should seek immediate medical attention:
1. Severe or worsening pain: If the pain becomes unbearable or significantly increases in intensity.

2. Shortness of breath: Difficulty breathing can indicate a serious condition that requires urgent care.

3. Chest pain: Any chest pain, especially if it radiates to the arm, neck, or jaw, should be evaluated immediately.

4. Nausea or vomiting: Accompanying symptoms like these can indicate a more serious underlying issue.

5. Changes in consciousness: If you feel faint, dizzy, or confused, seek help right away.

In summary, while your symptoms may not indicate an emergency, they warrant a thorough evaluation by a healthcare professional. Starting with a primary care physician is a good approach, and they can guide you to the appropriate specialist if necessary. Remember to monitor your symptoms closely and seek immediate care if they worsen or if you develop new concerning symptoms.

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