Pain Below the Ribs: Causes and Solutions - Orthopedics

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Understanding pain below the ribs can be quite complex, as it can stem from various causes, including muscular strain, gastrointestinal issues, or even underlying organ problems. In your mother's case, the pain she is experiencing on the left side below the ribs, especially when pressed, could be indicative of several potential issues.

Given that your mother recently engaged in physical activity that involved lifting and moving objects, it is plausible that she may have strained a muscle in the abdominal or intercostal region. Muscle strains can lead to localized pain that worsens with movement or pressure. This type of pain is often sharp and can be exacerbated by certain movements or positions.

Additionally, since your mother has a history of gastrointestinal issues, it is important to consider that her pain could also be related to her stomach or digestive system. Conditions such as gastritis, peptic ulcers, or even gallbladder issues can cause pain in the upper abdomen and may radiate to the areas below the ribs. The fact that she has a history of stomach problems makes this a significant consideration.

Another possibility is that the pain could be related to the spleen, which is located on the left side of the body. If there was any trauma or excessive force applied to the abdomen during her lifting activities, it could potentially lead to splenic injury or enlargement, which can cause pain in that area.

In terms of nerve pain, while it is less likely that nerve issues are the primary cause of her pain, conditions such as intercostal neuralgia (pain along the ribs due to nerve irritation) could also be a factor, especially if there is any history of nerve compression or irritation.

To address the pain, here are some recommendations:
1. Rest: Encourage your mother to avoid any activities that may exacerbate the pain, especially heavy lifting or strenuous movements.

2. Pain Relief: Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help reduce pain and inflammation. However, she should consult with a healthcare provider before starting any new medication, especially considering her history of stomach issues.

3. Heat Therapy: Applying a warm compress or heating pad to the affected area may help alleviate muscle tension and pain.

4. Gentle Stretching: If the pain allows, gentle stretching exercises may help relieve tension in the abdominal and intercostal muscles.

5. Monitoring Symptoms: Keep an eye on her symptoms. If the pain persists, worsens, or is accompanied by other symptoms such as fever, nausea, vomiting, or changes in bowel habits, it is crucial to seek medical attention promptly.

6. Medical Evaluation: If the pain does not improve with conservative measures, it would be wise for her to see a healthcare provider for a thorough evaluation. This may include imaging studies such as an ultrasound or CT scan to rule out any serious underlying conditions.

In conclusion, while muscle strain is a likely cause of your mother's pain, it is essential to consider her medical history and the possibility of gastrointestinal or organ-related issues. Encouraging her to rest and seek medical advice if symptoms persist will be the best course of action.