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[|Human|] hoping someone can help, i am suffering from right sided abdominal pain just below my ribcage for the last 4 days. there is a constant aching there but does increase to sharp pains every now and then, these do not seem to coincide with any activities. 10 years ago i contracted a severe case of tick bite fever whilst living in south africa, and heard there may be long term effect of this, that are agrivated by stress, that may cause problems, likewise i returned from holiday in a malaria zone 6 weeks ago, however i followed protocol with my anti-malarials. any ideas?
[|AI|]  HI. The pain on the right side of the abdomen below the rib cage, for 4 days, which is constant aching but with periodic ups and downs is suggestive of Cholecystitis meaning inflammation of the gallbladder. Other probable causes can be abscessed of the liver or ulcers in the duodenum and so on. This may not be related to the tic bites you had. Malaria causing pain in abdomen is called acid malaria and the pain is all over and very severe. I would suggest you to undergo an ultrasonography first and then the other blood tests including liver function tests, CBC to know the infection and all relevant blood tests. Start the treatment with antibiotics and as per the findings on investigations.