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can you tell me what is wrong i have a pain at the bottom of my lungs in only hurts when i stand up for more than 20 mins or when im lying down ive been to the doctors and they keep saying its a broken or cracked rib but ive had this problem for 8 months and i havent done anything to hurt mt ribs


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replied April 28th, 2010
Chest Pain Answer A11614
Hi, and thanks for your medical question on eHealth forum!

There is a strong possibility it is costochondritis (inflammation of the joint between rib and sternum. The inflammation around the joint area gives sharp pain on taking a breath. This can also cause tenderness on pressing the area which pains. Heat application, and analgesic creams help. If you find relief by this treatment consult an orthopedic specialist.

Chances are also that you have esophageal reflux (GERD), where the food in your stomach is thrown up into your food pipe or esophagus. Another possibility is hiatal hernia, where a portion of stomach herniates into the chest cavity through the diaphragm.

The symptoms could be exacerbation of the GERD. Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into and a combination antibiotic tried.

Life style changes that will help include: Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Go to bed at least 2 hours after food. Maybe these tips will help you.

You should consult a gastroenterologist (a specialist who looks after the diseases of our digestive system) or a physician for this if these tips reduce your symptoms. Hope this helps. Take care!



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