<s>[INST] hi. Iam having a sharp pain on the lower right side of stomach, it comes and goes had it, since yesterday and now it seems like the pain in also in the right side of the front like the lower part of the rib cage, and when I take a deep breathe and i feel the pain, have been taking some tramdil for pain and also tylenol and  nothing seems to be helping what do you suggest ? [/INST] Hi and thanks for the query. Pains in the lower right side of the abdomen can really mean so many things. What has to be suspected and ruled out is acute appendicitis? Others include kidney stones, UTI etc. Taking tramadol and Tylenol may only mask the true picture of this condition and make it more difficult to assess and treat time. Also, if it is caused by an infection, they in no way slow down the progress of this infection but gives you a false feeling of no pains. Because it is getting even worse and gradually been aggravated by breathing, I will suggest you see a doctor and get evaluated. We should have an idea of what is wrong or rule out potentially dangerous causes before settling. So much information is lacking right now. Hope this helps. Wish you good as you get this pain evaluated and appropriately treated. Chobufo, MD! </s>