What causes pain the ribs?
Patient: I am a 52yo female, non smoker.  I am on .25mg estroge (patch) and 100 mg progesterone daily.  I am experiencing a sharp pain under the left ribs.  It occurs between 4 and 5 am and stays with me until about noon every day.  Aim currently ring treated for acid reflux.  Activity seems to give some relief. Doctor: Respected madam, hi I evaluated your query thoroughly.*Certain vital informations missing here - was there pain before estrogen & progesterone therapy starting ?- sleep pattern- need medications for sharp pain if any ?- any other symptoms associated like breathlessness / perspiration /   palpitations along with it ?*Till you revert with details I can say this pain to be Costochondral in origin. Thanks for using Health care magic & reviewing my answer. Regards dear take care.