The symptoms you reported (pain in lower right rib are, extreme pain and tightness in the right arm, hand, shoulder, chest and pain in the back) are not likely to be related to the hyperprolactinemia, because the symptoms of hyperprolactinemia differ from the symptoms you reported. There is a possibility that your condition was caused by cholecystitis, which is acute inflammation of the gallbladder. This condition is most often caused by cholelithiasis (presence of gallstones in the gallbladder).
In certain patients, the inflammation starts without gallstones and is called acalculous cholecystitis. The gallstones might be very dangerous, because they cause obstruction of the bile ducts.
The diagnostic procedures include: a physical examination, laboratory tests, and abdominal ultrasound. The gallstones are usually easily visible with the ultrasound.
The treatment might include anti-inflammatory medications and anti-spasmodic medications. In most severe cases, where the gallstone does not return back in the gallbladder or the chances for complications are too big, surgery might be needed to remove the gallbladder.
You might want to visit a specialist for internal diseases to check if your symptoms are really related to cholecystitis.
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