Conversation: The conversation between human and AI assistant.
[|Human|] Male, 49 years old,6 3 290, had appendix removed. I have a a pain in my right side from just under my rib cage down to about my belt line. I slipped and fell onto my back on my deck and I felt it on my way down, almost like I tightened up and something tore. This happened almost 4 months ago. Pain is not consistent, but flares up when I use my abdominal muscles getting up out of bed or off the couch.
[|AI|]  Hi, Thanks for your query. The pain at the bottom center of the rib cage on the right side could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done. If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely. The other causes that need to be ruled out include lung infections like pleuritic. Stopping smoking might help in reducing the symptoms do hope that you have found something helpful, and I will be glad to answer any further query. Take care