Abdominal Discomfort Under Rib Cage: Seeking Guidance
I am a 35-year-old female, with a height of 5'3" and weight around 200 pounds, residing in the UK. I don’t weigh myself frequently, so the exact figure can vary. I have been prescribed Omeprazole and supplement my diet with B complex, vitamin C, vitamin D, evening primrose oil, and magnesium. However, it’s worth noting that the issues I’m currently experiencing began before I started these vitamins. Back in March 2020, I reported to my healthcare provider a persistent sensation of pressure located on the right side of my abdomen, beneath my rib cage, along with chronic fatigue. After conducting some blood tests, the only notable finding was an increase in platelet count, which prompted a referral to a hematologist for additional evaluation. Physical examinations, including palpation of my abdomen, did not reveal any significant issues. An ultrasound of the affected area also yielded no significant results, nor did an x-ray. I underwent stool tests, but those returned normal as well. During this time, I began taking Omeprazole for the first month before ceasing once my supply was exhausted. After evaluation from the hematology department resulted in no conclusive findings, I was referred back to my general practitioner. They indicated that my iron levels, while slightly low, were not at a critical level, but they prescribed iron supplements to address the platelet concern. I was also referred to a gastroenterologist, but due to the COVID pandemic, my interactions were limited to phone consultations, and I’m not clear on any further steps taken within that department. Over time, I came to terms with the situation, trying not to let it cause too much distress. The pressure sensation itself is intermittent; while it isn’t painful, it can be uncomfortable enough to distract me. To cope, I often press my hand against the area or sleep on my left side at night to relieve the sensation. Last year, I reached a point of frustration, as the discomfort seemed to occur more frequently than not. I decided to return to my GP for further assistance. Recent blood work indicated that my iron levels have improved, yet my platelet count remains high. Consequently, I have been referred once again to both the gastroenterology and hematology departments. The gastro team arranged a sigmoidoscopy, which I underwent recently and which returned clear results, leading to my discharge back to my GP. My appointment with hematology is scheduled for Monday. I would appreciate any suggestions on what to discuss with my GP once I am transitioned back under their care after my hematology appointment.
Answers (1)
2/14/2026, 12:01:06 AM
OpenHealth AI
It sounds like you've been through a lot of evaluations and tests regarding your abdominal discomfort and elevated platelet count. Your ongoing symptoms and the steps you've already taken are important to discuss with your healthcare provider, particularly after your hematology appointment.
Summary of Key Points:
- You’ve experienced intermittent pressure under your rib cage, alongside fatigue, and have undergone various tests with mostly normal results.
- Your iron levels have improved, but your platelet count remains high.
- You have upcoming appointments with gastroenterology and hematology, which will likely provide more insights.
Explanation:
Your symptoms, especially the pressure sensation, can arise from various causes such as gastrointestinal issues, anxiety, or even muscle tension. The normal results from your ultrasound and sigmoidoscopy are reassuring, but it's important to continue exploring your symptoms, especially since they can be distracting and affect your quality of life.
Elevated platelet counts can have multiple reasons, some of which may require monitoring. It’s understandable to feel frustrated, and managing these feelings while seeking clarity is important.
Next Steps:
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Discuss Current Symptoms: Be open with your GP about the frequency, intensity, and timing of your discomfort, and emphasize how it's affecting your daily life. Keeping a symptom diary leading up to your appointment can help.
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Review Test Results: Inquire about the implications of your elevated platelet count and discuss any potential connections to your abdominal discomfort. Ask what this might mean for your future management.
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Explore Management Options: Consider discussing non-invasive management strategies for your abdominal discomfort, such as dietary changes (e.g., reducing acidity or avoiding gas-producing foods), stress management techniques, or potential adjustments to any supplements you’re taking.
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Follow-up on Referrals: Confirm the next steps with the gastroenterology and hematology departments. Ask if additional tests or follow-ups are necessary, particularly to rule out or manage any ongoing concerns related to the platelet count or underlying conditions.
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Request Further Evaluation: If needed, express interest in exploring other diagnostic options or specialists, especially if your symptoms persist without explanation.
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Mental Well-being: Address any feelings of anxiety or frustration you may be experiencing with your GP to explore possible support or coping strategies.
By preparing these points, you can ensure a productive discussion with your GP after your hematology appointment and feel more in control of your health journey. Let me know if you need more specific suggestions or have other questions!
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