Unmasking the Mystery: What's That Pain under Your Right Rib Cage?
- Oct 24, 2025
Underneath your right rib cage is a virtual hotspot for several key organs such as your pancreas, gallbladder, right kidney, liver, and your small and large intestines. Pain in this area could be the result of numerous causes and diagnosing the triggering factor can be a process of elimination. Whether it's a mild concern of a primary care doctor or a more dire case in the ER, pain under the right rib cage is no stranger to the medical fraternity.
Physical trauma or injury to your right rib is one of the common culprits. It could be anything - a pulled muscle, a bruised or broken rib, often resulting in concentrated pain in that area upon movement or touch. Typical causes range from car accidents, falls, or contact sports-related injuries. A quick visit to the doctor can lead to an accurate diagnosis using X-ray. A broken rib, while painful, heals by itself within six weeks with adequate rest, ice application, and some doctor-recommended breathing exercises to mitigate the risk of pneumonia due to shallow breathing.
Deriving its residence in your right abdomen under the lower ribs, your gallbladder can be another cause of rib pain. Conditions linked to the organ include inflammation, gallstones blocking the flow of bile, leading to radiating pain from the rib cage to the right arm or shoulder. If untreated and the blockage persists, the condition can escalate into a gallbladder infection manifesting fever, chills, and increased heart rate. In such situations, it is advised to seek immediate medical help.
Gastrointestinal conditions - indigestion, constipation, gastroesophageal reflux disease (GERD), irritable bowel syndrome, inflammatory bowel disease, and gastritis, can also cause discomfort in the right rib area. Self-managing these conditions involve a variety of lifestyle changes, like eating smaller meals, avoiding fatty foods, stressing less, managing diet and hydration, exercising regularly, and in unavoidable cases, turning to over-the-counter medications, antibiotics or antiviral medications. However, persistent severe conditions like appendicitis (inflammation of the appendix) and pancreatitis (inflammation of the pancreas) require immediate medical intervention with possible surgical treatments.
Moreover, conditions affecting the right lower lung-the right lung sitting atop the diaphragm and liver located below-can cause pain under the right rib cage. These could include pneumonia, pulmonary embolism, pleurisy, all requiring immediate medical attention.
Kidney conditions affecting your right kidney can cause pain in your right flank (the area from the lower rib cage to your spine). Such conditions could include pyelonephritis, an infection of the right kidney, right-sided kidney stone, or tumors. Similarly, liver diseases like inflammation of the liver or hepatitis can cause pain in the right rib area.
Although heart-related pain typically manifests under the left rib cage, in rare cases, discomfort under the right rib cage could signal a cardiovascular problem. In general, the pain isn't always alarming. However, immediate medical intervention sealed with accurate diagnosis and treatment is necessary when pain follows an injury, is sudden or severe, entails additional symptoms like fever or rash or continues without improvement for a couple of days.