<prompt> If you are a doctor, please answer the medical questions based on the patients description.i have severe pain in lower left rib on back side i can pin point the exact area about the size of a quarter feels like about the second rib from bottom --several weeks ago had same thing went to doctor- blood test -urine test -x -rays-pacreas test all were normal ---pain went away for a couple of weeks now returned seemed to be aggrivated after lifting  <response>: Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from chronic backache. Treatment of back pain is exercises and analgesics diclofenac SR. Sometimes strong analgesicsuch as attract three times a day after meals is required. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation weekly with milk can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You are having a trigger point of pain. I generally give triamcinolone injection locally to my such patients with good results. Consulting with treating doctor is advised. You need to do MRI TO RULE OUT other causes. I think your query answered. 