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sometimes i have a very sharp pain at the bottom of rib cage,radiates to middle of back,goes away with milk

Posted by sunflower

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The differential diagnosis or list of possible things that could cause what you're describing is a mile long (or at least it seems like it).  A number of factors come to mind.  In older (former) smokers w/high blood pressure, we worry about an aortic aneurysm or dissection.  This is a surgical emergency that can sometimes be mistaken for chest pain or a heart attack.  In someone who drinks a lot of alcohol, we worry about pancreatitis (although this can also happen in folks w/gallstones or extremely high triglyceride levels).  Classically, peptic ulcers might be relieved by milk but if ignored, can lead to perforation or bleeding out and death.  Gallstones can cause similar pain but typically would be relieved by milk.  Of course, the improvement you've associated with consumption of milk might be coincidental and thus a red herring.  Therefore, it's always a good idea to go see your family physician for a thorough evaluation.  Good luck!
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