<s>[INST] I started having some sharp pain right under my lower right ribcage this afternoon. It hurts when I take in a deep breath. No fever. I had gastric sleeve in Jan. 2014 and have lost 70 . I did pick my grandson up this afternoon(weight approx40 lbs).. I have been massaging the area but have stopped. Lipids-chol214, trig 70!!. And I do still have my appendix. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your pain is probably related to muscle strain because of lifting your grandson. Do not worry. Take rest, put ice on the affected area, take analgesics oral or topical, take diet rich in vitamins, minerals especially calcium and vitamin D. Hopefully pain will resolve. I hope I have answered your question. If you have further queries, I'm happy to help you. </s>