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Ask Dr. P. Jyoti Your Own Question
Dr. P. Jyoti
Dr. P. Jyoti, Consultant MD
Category: Medical
Satisfied Customers: 9126
Experience:  17 yrs experience in treating OPD & Emergency patients.
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For the last 6 months and not every day but often, I get this

Customer Question

For the last 6 months and not every day but often, I get this scratchy sort of pain under my bottom left rib cage area when I pass a motion. It is as if the act of the bowel working is making it knock into something in there. This morning the scratchy pain was a bit more pronounced and I do wonder what it could be. I am otherwise extremely healthy. I am a 52 year old female. My bowel habits are very normal. Same time every morning, no sign of blood etc. Thanks for any advice.
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. P. Jyoti replied 4 years ago.

I can appreciate your concern.

This is something that needs to be taken seriously.

One important possibility is that it could be angina pectoris - pain in the heart. Angina can be precipitated by bowel movements in some patients - this is a known phenomena. There are also other possibilies - it could be subdiaphragmetic abscess - an accumulation of pus under the diaphragm, causing pain during the strain of bowel movement. It could also be splenic flexure syndrome - a bubble of gas in the splenic flexure of the colon. Splenic or liver abnormalities and abscess are other possibilities. The increased intrabdominal pressure during bowel movement may cause pain in small abnormalities which are not showing any other symptoms at present.

Angina remains the most important possibility that needs to be ruled out.

I would advise an early consultation with your doctor. Ask about these possibilities. All these need to be ruled out.

Hope this shows you the way forward - wish you good health and a quick recovery.

I hope my answer has helped you gain more knowledge and confidence about your problem and in knowing what to discuss with your doctor.

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Thank you,
Dr. P. Jyoti, MD.