<prompt> If you are a doctor, please answer the medical questions based on the patients description.lower left rib pain, along with sharp painvery tender spot off back spinal area...close to L44 left of spinal area.No constipation, eating, loss of weight, etc. have liver cirosis, apparently some small gallstonesnever before.Previously had small kidney stones2mm. Platlett count 140. No history of cancer in family.Recent sonogram showed nothing wrong in the area. Taking gabapentin 900mg every 4-6 hours, little relief. Suspect damaged liver putting pressure on spleen, possible pancreas or stomach ulcer. confusing problem  <response>: Hi, As you described, sharp pain close to L4 and left rib with no abdominaldigestive symptoms, it is likely that a possible cause of such pain is of musculoskeletal origin - spines, ribs or muscles around these. There is no other symptoms that suggest pain is due to liver pressure on the spleen or pancreas or stomach ulcer. Gabapentin is use for seizure and neuropathic pain and is not expected to treat pain of musculoskeletal origin. Anti-inflammatory Chat Doctor. However, it is important you go to your doctor as heshe will establish the origin of pain musculoskeletal pain could be of several origins: fiscal hernia, trauma etc. and advise appropriate treatment. Hope this is helpful 