This question was answered on Wed 14, Jul 2010 12:03am by Dr Ajit Singh

Pain under right rib cage, Itchy all over.

Asked by richard73 (Male; 37; UNITED STATES; I had an inguinal hernia repaired 5 years ago which I fully recovered from and currently dont have any diagnosed problems. I experienced rectal pains for the last 5-6 months, sometimes the pain would shoot down my leg and foot as well, sitting for long periods made it worse, walking would reduce pain, it also didnt hurt during bowel movements, these symptoms seem to of mostly resolved on there own although Ive never had it diagnosed, every once in awhile I still feel the pain but its very mild.; Relevant drugs:Not taking any medications, I usually take vitamin B-12 and Flaxseed oil at night(it helps me sleep), Ive also been taking Konsyl psyllium fiber once a day to keep my bowels regular, I tend to have constipation or "incomplete" bowel movements if I dont use Konsyl. ) on Tue 13, Jul 2010 10:20pm
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I was having pains under my right rib cage for a few days which I think might of been liver pain but I dont have any history of liver issues or any other medical problems so im not 100%. My back was also extra sensitive (felt like sharp pains) when sitting in certain positions. today the pain is almost completely gone under rib cage and back, but a new symptom started yesterday, Im itchy all over my body from head to toe, it comes and goes but Ive never had this happen before either, sometimes instead of itchiness I feel tingling in my arms and back, Also when I wake up in the mornings lately ive noticed my arms & hands tend to be asleep (both of them) Any ideas appreciated! p.s. I don't normally drink alcohol but for the last couple months Ive had a habit of drinking rum, only at night and usually every other night, sometimes 2 - 3 nights in a row, and I'll usually only consume the smallest 200ml bottle.

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Answer by Dr Ajit Singh  on Wed 14, Jul 2010 12:03am:

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Comment by Dr J Singh on Wed 14, Jul 2010 12:55am:
Hello, Dr Ajit is absolutely right in saying that the itchy skin is due to liver causes and due to your alcohol consumption, alcoholic liver disease needs to be ruled out. Itchy skin that isn't accompanied by other obvious skin changes, such as a rash, is most often caused by dry skin (xerosis). Dry skin usually results from hot or cold weather with low humidity levels, long-term use of air conditioning or central heating, and washing or bathing too much. Other conditions cause itchy skin as well. Skin conditions like psoriasis,dermatitis and hives, internal diseases like liver and kidney disorders, diabetes, iron deficiency anemia, irritation and allergic reactions to chemicals, wool, soaps, cosmetics and certain foods can cause itchy skin. The treatment remedies told By Dr Ajit are very helpful and you will benefit from these. Apart from that, you can apply an anti-itch cream or lotion to the affected area. Oral antihistamine, such as Benadryl can also be used. You should take a comfortably cool bath and wear smooth-textured cotton clothing. Covering the affected area with bandages and dressings can help protect the skin and prevent scratching. You should choose mild soaps without dyes or perfumes and use a mild, unscented laundry detergent when washing clothes, towels and bedding. Please take a second opinion from a physician if the symptoms persist. He/She will start with the specific medications. If an internal disease is found, whether it's liver disease, kidney disease, iron deficiency or a thyroid problem, treating that disease often relieves the itch. Lastly, Phototherapy can also be tried. Numbness and tingling are often in found in people taking alcohol. They are called parasthesia. Other causes include metabolic disorders like diabetes, hypothyroidism, and hypoparathyroidism. They can also be due to peripheral vascular disease, vitamin B12 deficiency or malnutrition. Get your blood sugar and thyroid hormones levels evaluated. You can take some vit B12 for some days and get your liver function tests done. I hope it helps. Take care and please do keep us posted in case you have any additional doubts. Kind regards.

Comment by richard73 on Wed 14, Jul 2010 01:24pm:
Thank you very much for the responses Im going to wait a couple days and see if the itching or pains get any worse, today the itching isnt as bad and the pain under right ribcage is very mild compared to a couple days ago. As for the itching i just wanted to clarify the itching isnt everywhere at once,but instead at random locations all over my body, usually one area at a time? for example my right arm will have an itch and ill scratch it for a couple seconds and its gone,then my neck might itch and it goes away after scratching for a second, then my left leg etc. does this still sound like a possible liver issue? I have of course stopped drinking and will see my doctor if anything gets worse. my medical insurance isnt the best i have to pay 40% of all costs so im hoping this will resolve on its own, but I wont let that stop me from seeing the doctor if my symptoms dont go away soon, I will follow up and Thanks again for your help.

Comment by Dr Ajit Singh on Wed 14, Jul 2010 11:44pm:
Hello richard73, at first i would have thought in terms of an allergic reaction secondary to chemical irritants present in the fabrics of the mattress, clothes, perfumes, deodrants or soaps. However, kindly start on with antihistamines and follow the precautionary measures which i have mailed you earlier on this post. Neverthe less get a LFT done to rule out the possibility of alcoholic liver disease. Hope this helps you. Regards

Comment by on Mon 11, Apr 2011 09:17pm:
Itching skin under rib area can be due to contact dermatitis, allergic reaction, viral infection, specific skin diseases like shingles, scabies, eczema, hives or pityriasis rosea.

Comment by Carrie on Thu 06, Oct 2011 09:54am:
I have the same things and I do not drink alcohol. But with my case I have been having headaches usually about 3 major headaches a day. and my left arm this morning felt like i was having a muscle spasm from my elbow to my hand.

Comment by Noel Basnayor on Mon 16, Jul 2012 12:51pm:
i feel tingly under my right rib it's not painful but worried might have problem. i drink once a week stopped smoking more than 11 years now please advise. thanks.

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