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I woke up this morning about four thirty with a sharp pain ...
Sent to Health Experts February 17 11:07 AM

I woke up this morning about four thirty with a sharp pain just below right rib cage. I woke up very hot about one thirty thinking it was probably hot flash then rolled over and went back to sleep until four thirty. I am 55 years old and female.

 

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Female, Age: 55, Illinois

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Nothing. Not as bad as before but still there. It seemed strange to come on when I had no discomfort prior to waking up and starting to roll over from my right side.

Customer (name blocked for privacy)
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February 17 11:16 AM (5 minutes and 39 seconds later)
         
No medical problems. I had back surgery in the 80s. I can feel some discomfort if I cough or move a certain way when getting up. It isn't constant but I can feel tenderness if pressing on area. No burning sensations or nausea or vomiting or changes in bowel habits. I am taking Chantix to stop smoking. That has been for a month now and has helped tremendously so far.
Answer
February 17 11:38 AM (21 minutes and 45 seconds later)
         
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Thanks for that additional information Customer (name blocked for privacy).

I'm sure that you understand how difficult it is to know exactly what is going on with you considering the limitations of this forum. For that reason, I cannot diagnose you with any condition. Rather, I can suggest a few possible problems that fit the description you have given and educate you on them. This is in no way a substitute for an evaluation by a health care professional.

That being said, there are a few possibilities that I can think of that can explain your problem.

The first is that you have strained a muscle. Muscle strains are often sharp pains that are related to breathing, movement, and touching. If fact, the pain can be absent if these conditions aren't met. Try and think if you did any heavy lifting or straining in the last few days. Ice, rest, and tylenol should help, and this condition should improve on its own in the next week or so.

The next possibility is pain related to your gall bladder. This can be a sharp pain that comes in waves. It is usually made worse after eating, especially large fatty meals. There can be a change in bowel habits with this condition related to the malabsorption of fat. Sometimes a low fat diet and weight loss can help. There is also a medication of bile acids that you can take that will help with the pain, but it needs to be taken indefinately and this medication causes a lot of gas. There are tests that can be done to determine if you have this condition. The first step would be to have an examination by your physician. If he/she feels this is likely, some blood tests and an ultrasound of your abdomen would be ordred.

Another possibility is gastritis, or an irritated stomach. This pain can be sharp or cramp-like. It is often associated with nausea and made better with food initially. Over the counter zantac or prilosec would help with these symptoms.

Although I cannot say for sure, my guess is that this is related to a muscle strain.

Let me know if you need any clarification.




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Thank you,
Dr. Cawlfield
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February 17 11:42 AM (4 minutes and 43 seconds later)
         
I don't know what else to tell you. I woke up about one thirty hot which I assume was a mild hot flash. When it passed I rolled over on my right side and went back to sleep. I woke up around four thirty and started to roll over and felt a sharp pain just below my right rib cage. It has eased up and is not constant but tender and hurts if I move a certain way. It just seemed odd to me to come on all of a sudden.
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February 17 11:43 AM (34 seconds later)
         
Thank you
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February 17 11:49 AM (5 minutes and 45 seconds later)
         
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February 17 11:56 AM (7 minutes and 11 seconds later)
         
I doubt the hot flash is related. I am not normally bothered by them and never have during the day. I have noticed having three or four during the last few months during the night usually around three am.
I did do some work out a few days ago on a rolling machine with some resistance training but didn't feel any discomfort after that. But it could be a delayed side effect. I appreciate the valuable information.
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February 17 12:48 PM (51 minutes and 55 seconds later)
         
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