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costo treatment

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So I continue to have this pain in my right rib cage and into my back.  Sometimes it's a deep pain which I assumed was related to gluten and other times I can just touch my rib cage and it's tender. 

 it comes and goes although there's always something on the right hand side whether it be pressure or pain. Some days it's a lot worse, some days it's not too bad. My gallbladder was taken out about 20 years ago so it's not that and my liver has been viewed via CT scan, MRI, and ultrasound. Everything looks fine there too.

 My specialist told me that it could be inflammation  of surrounding tissue due to the intestinal inflammation.

 So today I went to my primary care and asked for his advice.  I had gastritis last summer and some gastropathy showed up on a recent capsule endoscopy.  I also have some villi blunting so I told him I didn't think taking Advil would be such a great idea.

He prescribed a topical NSAID.  He told me they often use it for people who have had gastric bypass surgery because it doesn't go into the stomach. However as soon as I opened the package and started reading about applying it, there is a huge section on issues with stomach bleeding etc, so on and so forth. 

 So I looked it up online and sure enough:

"topical diclofenac(Pennsaid, Voltaren) may cause swelling, ulcers, bleeding, or holes in the stomach or intestine". 

 So now I'm back to square one. And kind of annoyed that I paid a $20 copay today for this.  Perhaps I'm overthinking it?  Maybe I should just start using the stuff and hope that the package insert and online is being ridiculous and the doctor is more knowledgeable?  I mean, I'm actually applying the stuff basically on to my gut!  I already applied some tonight and tried washing it off after.

 I have done heat, ice, a TENS unit, and Kinesiology tape.

 Not sure if it's Costo or not. It doesn't travel up to the ribs in my chest, just the lower ribs and into the back. 

 Anybody have this before with any luck with a particular med that doesn't wreak havoc on your  intestine or stomach?

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I know that for obvious reasons the first thought is intestinal inflammation but it sounds a bit like intercostal neuralgia? Not sure if that's been ruled out / in? Ignore me if that's a daft idea, a lot of my gluten mediated problems come via the nervous system so I wonder if that's the same for others. If it were in any case the NSAID is a potential treatment: https://njmetropain.com/intercostal-neuralgia-feels-like/

As for the side effects. I think you have to look at the 'may cause' and make a risk assesssment. In the UK a lot of hospital admissions are related to adverse drug reactions to prescribed medications so you're right to be vigilant. On the other hand, these medications have been through a testing procedure and should therefore offer at least some chance of working.

Maybe there's another alternative with less troubling side effects. Ask a pharmacist and see if you can find out any stats on that 'may cause' statement. Because if it's 1 in a thousand, you may want to give the medicine a shot?

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I ended up going to using natural herbs, Marshmallow Root, Cinnamon Oil, Aloe Vera, and looking at perhaps slippery elm. All for my UC inflammation issues. You can check the various info on them here http://www.herbwisdom.com/herblist.html

Diagnosed Issues
Celiac (Gluten Ataxia, and Villi Damage dia. 2014, Villi mostly healed on gluten-free diet 2017 confirmed by scope)
Ulcerative Colitis (Dia, 2017), ADHD, Bipolar, Asperger Syndrome (form of autism)
Allergies Corn, Whey
Peanuts (resolved 2019), Cellulose Gel, Lactose, Soy, Yeast
Olives (Seems to have resolved or gone mostly away as of Jan, 2017), Sesame (Gone away as of June 2017, still slight Nausea)
Enzyme issues with digesting some foods I have to take Pancreatic Enzymes Since mine does not work right, additional food prep steps also
Low Tolerance for sugars and carbs (Glucose spikes and UC Flares)
Occupation Gluten Free Bakery, Paleo Based Chef/Food Catering

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Thanks guys. 

I do use slippery elm and marshmallow tea when I can feel gastritis starting.

I do not think it is all intestinal for sure. I did fall pretty hard there 6 months ago but the xray was normal. so the rib-nerve issue could make sense.

I worry About any warning for stomach/intestine because I already have documented issues with both. But calling the pharmacy is a great idea. 

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Just an update for anyone interested:

I did call the pharmacist and explained. He did say the stomach/intestinal warning still applied to the topical cream. HOWEVER, the topical solution would be less absorbed into the gut then the pill version, which seems obvious, so the chance of an issue would be less then say, taking advil. The last time I took advil when I had existing nausea, I ended up vomiting.

Given the mild nausea, pressure and dizziness I have had today I think I would rather deal with the pain then potentially add to the nausea. The pain has not been to awful today. Yesterday sucked.

I will explore online for more options I guess and use the ointment if totally desperate.

Thanks all!

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Hi ironic and ((((hugs))))

For several months prior to diagnosis and a few after I had something like this on my left side.  My lower ribs were sore to the touch.  I used to massage the area and went to sleep with a heating pad each night.  It was awful.  It did start getting better after going gluten free thankfully.

I'm so sorry that yours has not gotten better.  I completely understand your hesitation with using this medication.  I am always scared about adding something new in.  

I really do hope that you figure something out and start to feel better soon! 

January 2014-Celiac

August 2014- Hashimoto's

"You never know how strong you are, until being strong is your only choice."

Bob Marley

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Hi IT,

My sister has a problem with ribs sometimes coming out of joint.  She goes to a chiropracter to get them "adjusted".  Might help.

Proverbs 25:16 "Hast thou found honey? eat so much as is sufficient for thee, lest thou be filled therewith, and vomit it."

Job 30:27 My bowels boiled, and rested not: the days of affliction prevented me.

Thyroid cyst and nodules, Lactose / casein intolerant. Diet positive, gene test pos, symptoms confirmed by Dr-head. My current bad list is: gluten, dairy, sulfites, coffee (the devil's brew), tea, Bug's Bunnies carrots, garbanzo beans of pain, soy- no joy, terrible turnips, tomatoes, peppers, potatoes, eggplant, celery, strawberries, pistachios, and hard work. Have a good day! 🙂 Paul

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