Pain Under Right Rib Cage? Here Are the 7 Likely Causes

Pain under the right rib cage is a common complaint that can stem from a variety of causes. The area beneath the right rib cage houses several vital organs, including the liver, gallbladder, and part of the intestine. Understanding the potential causes of this pain can help guide appropriate treatment and management strategies. Below, we explore the seven most likely causes of pain under the right rib cage, their symptoms, and suggested treatments.

1. Gallstones

What Are Gallstones?

Gallstones are hardened deposits of digestive fluid that can form in your gallbladder, a small organ under your liver. The gallbladder stores bile, a digestive fluid produced by the liver.

Symptoms

Sudden and rapidly intensifying pain in the upper right portion of your abdomen.

Pain that radiates to your back or right shoulder.

Nausea or vomiting.

Pain that lasts several minutes to a few hours.

Diagnosis and Treatment

Gallstones can be diagnosed using an ultrasound or other imaging tests. Treatment may involve dietary changes, medications to dissolve gallstones, or surgical removal of the gallbladder (cholecystectomy).

Reference: https://www.mayoclinic.org/diseases-conditions/gallstones/symptoms-causes/syc-20354214

2. Liver Conditions

What Are Liver Conditions?

Several liver conditions, including hepatitis, fatty liver disease, or liver abscess, can cause pain under the right rib cage.

Symptoms

Persistent or recurrent pain in the right upper abdomen.

Jaundice (yellowing of the skin and eyes).

Fatigue.

Swelling in the abdomen.

Diagnosis and Treatment

Liver conditions are diagnosed through blood tests, imaging studies, and sometimes liver biopsy. Treatment varies depending on the specific liver condition and may include lifestyle changes, medications, or surgical interventions.

Reference: https://www.cdc.gov/hepatitis/statistics/index.htm

3. Costochondritis

What Is Costochondritis?

Costochondritis is inflammation of the cartilage that connects a rib to the breastbone (sternum). It can cause sharp pain and tenderness around the rib cage.

Symptoms

Sharp, aching pain in the front of your chest that can move to the back or abdomen.

Pain when taking deep breaths or coughing.

Tenderness when pressing on the rib joints.

Diagnosis and Treatment

Diagnosis is usually based on a physical exam and medical history. Treatment includes pain relievers, anti-inflammatory medications, and physical therapy.

Reference: https://www.hopkinsmedicine.org/health/conditions-and-diseases/costochondritis

4. Kidney Stones

What Are Kidney Stones?

Kidney stones are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain, particularly if they block the urinary tract.

Symptoms

Severe pain in the side and back, below the ribs.

Pain that radiates to the lower abdomen and groin.

Pain that comes in waves and fluctuates in intensity.

Nausea and vomiting.

Diagnosis and Treatment

Kidney stones are diagnosed through imaging tests and urine analysis. Treatment includes drinking plenty of water, pain relievers, and medications to help pass the stones. In some cases, surgical removal may be necessary.

Reference: https://www.kidney.org/atoz/content/kidneystones

5. Pancreatitis

What Is Pancreatitis?

Pancreatitis is inflammation of the pancreas, an organ that produces enzymes and hormones that help digest food.

Symptoms

Upper abdominal pain that radiates to the back.

Pain that worsens after eating.

Fever.

Rapid pulse.

Nausea and vomiting.

Diagnosis and Treatment

Pancreatitis is diagnosed through blood tests, imaging tests, and sometimes endoscopic procedures. Treatment involves hospitalization, fasting, IV fluids, and pain medications.

Reference: https://www.niddk.nih.gov/health-information/digestive-diseases/pancreatitis

6. Irritable Bowel Syndrome (IBS)

What Is IBS?

Irritable Bowel Syndrome (IBS) is a common disorder that affects the large intestine. It can cause a variety of symptoms, including pain under the right rib cage.

Symptoms

Abdominal pain or cramping.

Bloating.

Gas.

Diarrhea or constipation, or both.

Diagnosis and Treatment

IBS is diagnosed based on symptoms and ruling out other conditions. Treatment includes dietary changes, medications, and stress management techniques.

Reference: https://www.nhs.uk/conditions/irritable-bowel-syndrome-ibs/

7. Musculoskeletal Issues

What Are Musculoskeletal Issues?

Musculoskeletal pain can result from muscle strains, ligament sprains, or other injuries to the muscles and bones around the rib cage.

Symptoms

Pain that worsens with movement or pressure.

Muscle tenderness or stiffness.

Pain localized to one area.

Diagnosis and Treatment

Diagnosis involves a physical exam and medical history. Treatment includes rest, pain relievers, ice or heat application, and physical therapy.

Reference: https://www.niams.nih.gov/health-topics/musculoskeletal-pain

Conclusion

Pain under the right rib cage can have many potential causes, ranging from relatively minor issues like musculoskeletal pain to more serious conditions like gallstones or liver disease. It is important to seek medical attention if you experience persistent or severe pain, as early diagnosis and treatment can prevent complications and improve outcomes.