What causes painful lump under rib with pain in lower pelvic area?
Patient: Hi I am a 40 year old man who has various symptoms which may or may not be related. I have in the last week been tested positive for Chlamydia to my horror. I received the treatment on saturday and have taken the four pills at once (Zithromax) a dull ache under my right rib towards my back and there appears to be a small lump there too. This lump not getting any bigger but the ache is getting worse. I also have a dull ache in my lower pelvic area still. I am worried that the infection has led to complications elsewhere in my body. I have generally been feeling unwell for a few months but have not been sick or have not lost weight. I have recently lost my mum to cancer and have been too scared to go and get checked out for this. Can you help. Doctor: HI,Dear,Welcome to HCM.Based on the facts and data of your query,You seem to have a complex problem of 2 entities -a-Painful lump under the rib- which seems to be sebaceous cyst with reactivated infection of the cyst / or could be due to the fibro-myalgia from the pelvic chlamydial infection which you seem to have over last few days.b-Genitourinary infection causing pelvic unwellness/dull ache indicative of -cystitis/ urethritis/ with prostatitis due to chlamydia-with which you are diagnosed lately.This is STD disease and needs detailed and thorogh follow up treatment with Dermatologist doctor.c-Cancer Fear Psychosis with obsessive anxiety-as your mother died lately with Cancer.Check with your psychiatrist, who would resolve it by proper medicines.In the above scenario, you need to be very cautious and take the needful treatments for the varied health issues you have.Hope this reply would help you to resolve your sever anxiety.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS