Hello, this is Dr. David. I have read your question and I'm ready to help.
pains under your right rib cage could be from inflammation of your gall bladder or gall stones.
you need a gall bladder ultrasound to check for inflammation and stones and a HIDA scan to see if your gall bladder is function properly or not
if your gall bladder is not function properly and is causing you pain, you might benefit from having it surgically removed.
you need to see a doctor and get more testing to check your female hormone levels and testing to check for autoimmune
disorders and arthritis of your spine.
you might have ankylosing spondylitis or arthritis possibly of your spine.
if you are overweight, you might benefit from weight loss and physical therapy
if you snore at night, sleep apnea can cause severe fatigue
low iron or low B12 or low ferritin levels can cause fatigue
let me know if you have questions.