Hot pain under ribs

[magicpony]

I am a 41 year old female.  I got large exernal piles suddenly at the end of June.  I had a hemmoidectomy to have them removed.  A routine colonoscopy 3 weeks ago revelead non specifc inflamation of colon, but bloods were fine as was biopsy. Over past two weeks, I have continuous, low grade 'hot' pain under my ribs on the left hand side.  I also have  painful bowel movements with some blood.
I was told to come back for an abdominal ct scan.  As the blood test and biospy was clear - is this just a coincidence?  What could this pain be?

[magicpony]

Many thanks for your comments.  I will rearrange the CT and see how it goes.  I will post result. Thanks again.

[Bhupinder Kaur, MD]

Hello,

Various possibilities are there for  these kind ofsymptoms. Sharp pain under the right rib cage that worsens after eating points to gallbladder disease. Types of gallbladder disease include gallstones and inflammation of the gallbladder.Liver disorder may cause such kind of pain. Liver function tests as well as an abdominal ultrasound would be a reasonable approach to investigate this.

Second possibility is of gastresophageal reflux disease or hiatal hernia or peptic ulcers.You need upper GI endoscopy to diagnose it.

Thisd possibility is of underlying lung pathology which is pressing upon the diaphragm and causing pain.CT chest may be needed.Chronic pancreatitis and Functional abdominal pain syndrome (FAPS) may also cause this kind of pain.

Lastly,an important cause of such pain along with blood in stools is found in inflammatory bowel disease(Crohn’s disease or ulcerative colitis).

It would be better to get CT abdomen done which can clear cut confirm a diagnosis from the above possibilities.Pls consult a gastroenterologist and get CT abdomen done.

Hope it helps.Take care and pls do keep me posted on how you are doing.