Right Rib Pain and Small Lumps: When to Seek Medical Help - Pulmonology

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Small lump above the right rib cage?


Two days ago, I noticed a difference between the left and right ribs.
There is a small lump on the upper part of the right rib cage that sometimes causes sudden pain, while at other times it does not hurt.
When I press on the small lump on the upper right rib, it causes slight pain.
Doctor, what is happening to my body? Which department should I consult? If you know, could you please help me? Thank you! ^^

Lin, 20~29 year old female. Ask Date: 2013/07/13

Dr. Jian Shuntian reply Pulmonology


Hello,
1.
You may first consult a pulmonologist, who will perform a chest X-ray and a physical examination to determine if there are any small masses, and then decide which specialty to see next.

2.
Alternatively, you can start with a family medicine physician, who will conduct a physical examination and then recommend which specialty to consult.
Thank you for your inquiry.
Wishing you good health.
Sincerely,
Dr.
Jian Shun-Tian, Chief of Pulmonology

Reply Date: 2013/07/13

More Info


When it comes to right rib pain and the presence of small lumps, it is essential to approach the situation with caution and seek appropriate medical attention. Rib pain can arise from various causes, including musculoskeletal issues, trauma, infections, or even more serious conditions. The presence of lumps in the area adds another layer of complexity to the situation.

Firstly, rib pain can often be attributed to muscle strain, rib fractures, or inflammation of the cartilage connecting the ribs to the sternum, known as costochondritis. If the pain is sharp and localized, it may indicate a muscle strain or injury. However, if the pain is more diffuse or associated with other symptoms such as difficulty breathing, fever, or significant swelling, it could suggest a more serious condition that requires immediate attention.

The small lump you mentioned could be a variety of things. It might be a benign cyst, a lipoma (a fatty tumor), or even an enlarged lymph node. If the lump is tender to the touch or has changed in size or shape, it is crucial to have it evaluated by a healthcare professional. In some cases, lumps can indicate underlying infections or other pathological processes that need to be addressed.

Given your symptoms, it is advisable to seek medical help from a primary care physician or a specialist in internal medicine. They can perform a thorough physical examination and may recommend imaging studies, such as an X-ray or ultrasound, to assess the ribs and the lump further. If there is a suspicion of a more serious condition, they may refer you to a specialist, such as a pulmonologist or an oncologist, depending on the findings.

In the meantime, if the pain is manageable, over-the-counter pain relief medications like ibuprofen or acetaminophen can help alleviate discomfort. However, if you experience any worsening symptoms, such as increased pain, difficulty breathing, or fever, it is crucial to seek emergency medical attention.

In summary, while rib pain and small lumps can often be benign, it is essential to take these symptoms seriously. Seeking medical advice from a qualified healthcare provider will help determine the underlying cause and appropriate treatment. Early intervention can lead to better outcomes and peace of mind.

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