I have a sharp and unbearable stabbing pain under my left rib cage that comes and goes often. it is definitely not a wind.

Be seen: If it is severe enough pain to be “unbearable” would definitely want to be seen and evaluated. Multiple potential causes in that area. A thorough exam and appropriate studies would likely determine the cause.

Needs w/u ASAP: Costochondritis refers to inflammation of the cartilage that attaches your ribs to your breastbone. This can happen for several reasons, such as: an infection physical injury arthritis It causes a sharp, stabbing pain that’s usually felt on the left side of your rib cage. It gets worse when you cough, sneeze, or press on your ribs. Pancreatitis, Severe gastritis, large spleen may be other dx

Exam needed: Possible causes include pinched intercostal nerve or muscle which runs between 2 ribs in the lower left rib cage. Gas entrapment or pathology at the splenic flexure of the colon as it makes a turn, spleen or left basilar lung pathology are other possibilities. Start with an examination by your MD and appropriate tests will be done and referrals will be ordered.