instruction: hi doctor I have pain for the past four weeks already the pain is consistently sharp and takes my breath away and stabbing and with the pain I have spasms all over my body I can feel some pulsation inside my left upper side under my ribs and the pain starts with the cramps on my back going to the front with the contraction pain my blood and urine are fine I had done an mri scan and the mri says normal appearance of the liver no focal lesions are seen the gallbladder is normal no intrahepatic biliary duct or common bile duct dilatation I just would like to know what if no intrahepatic biliary duct or common bile duct dilatation is normal please help me to understand
output: hi inflammatory conditions like costochondritis must be ruled out as of now you can use analgesic and anti inflammatory combination like aceclofenac seratiopeptdase for symptomatic relief if symptoms persist it is better to consult a physician and get evaluated