<s>[INST] Hi I'm a 22 year old female normal weight no health problems, but every morning I wake up with severe pain in my ribs and in my back and its so severe that its painful to inhale or exhale, much less move? What is causing this and what can I do about it? [/INST] Hello, If at this age if you are having such stiffness in morning then i sahll advise you to get yourself investigated for arthritis including RA,ANTI CCP ,CBC and x ray of spine.Till then you may have a mild analgesic like ibuprofen for relief from pain. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mukesh Tiwari </s>