Suggest remedy for left side pain near the rib cage and purplespots on ankles
Patient: I have left side pain near the rib cage. It feels tender with some pain.The lower left rib cage protudes more than the right lower rib cage. X-rays revealed no rib fractures.Tylenol medication does not help. I also have purple skin spots on the right foot in front of the ankle area.The physician assistant examed the purple spots and said it could be from crossing my ankles. I ve been avoiding crossing the ankles for 2 months. The purple spots have increased. I get shortness of breath when power walking. I had a physical 2 months ago. Also, the lab work (blood/urine) came back normal. Doctor: Hi,From the history what I suppose you have is Cryoglobulinemia disease from the group disease called vasculitis. Though this is a provisional diagnosis, I would like you to once again go for urine and blood test to verify any involvement of kidney and NY raise in WBC count respectively.Also to do a stress test as you feel breathlessness on power walking. Even though the test is very negative previously but there are chances that they are false negative. Hope this helps you in diagnosing your condition and apt treatment. Let me know if I can assist you further.Take care and hope for your quick recovery.Regards,Dr. Jenis Bhalavat