Rib swelling and pain in women in their fifties can be caused by physiological factors, or it can be caused by pathological reasons such as chest wall diseases and liver and gallbladder diseases. 1. Physiological factors: if the emotional ups and downs are large, it is possible to have the performance of breathlessness, rib swelling and pain is a normal physiological phenomenon, without additional special treatment, after sending the mood can be relieved. 2. Chest wall diseases: such as costochondritis and intercostal neuritis and other chest wall diseases, because the lesions are in the ribs, there will be symptoms of rib distension. 3. Liver and gallbladder diseases: diseases such as cholecystitis and gallbladder stones can lead to rib distension because of visceral pain involving the ribs. If you suspect that this symptom is pathologic, it is recommended to go to the hospital in time.