13 Causes of Pain Under Right Rib Cage with Treatments

Having pain under your right rib cage is often a cause for concern because this may be a sign of a severe medical condition. Moreover, there are many vital organs such as the heart, liver, gall bladder, kidney, and lungs under your right rib cage.

The pain under your right rib cage can be mild or severe, depending on the causes. Sometimes, the pain may be sharp and stabbing, or it feels like something is squeezing your chest. Many people assume that they are experiencing a heart attack. However, the pain in this location is not commonly heart-related. Most cardiac-related pains occur under your left rib cage.

Experiencing pain means something wrong; you shouldn’t just ignore it. You’d better get a thorough physical exam, which can help determine the exact reason. Finding the exact causes is significant, which can assist the doctor in developing a proper treatment plan. This article discusses 13 common causes of pain under your right rib cage.

Pain Under Right Rib Cage
Pain Under Right Rib Cage causes and treatments

13 Common Causes of Pain Under Right Rib Cage

Below are 13 common causes of pain under the right rib cage.

1. Lung Disease

Collapsed lung
pain from Lung Disease

Different types of lung diseases can cause pain under your right rib cage.

  • Pneumonia

Pneumonia is a common cause of stabbing pain under the right rib when breathing. You may also feel headaches, cough, fever, and chill. The common causes of pneumonia include fungal, bacterial, and viral infections. People exposed to cigarette smoke for a long time are more likely to suffer from pneumonia.

  • Pleurisy

Pleurisy is usually caused by the accumulation of fluid in the lung tissues. This also means that the tissue layers of the lungs are inflamed. The common causes of Pleurisy are rheumatoid arthritis, rib fracture, and lung infections.

The chest pain caused by pleurisy may spread to other areas of your body, such as the right shoulder and back. You can feel chest pain when you cough or sneeze. The other symptoms include shortness of breath and tenderness in the area.

  • Collapsed lung

A collapsed lung is also called pneumothorax. The space between the chest cavity wall and the lung fills the air. This makes the whole lung or a portion of the lung collapse.

The common causes of a collapsed lung include smoking, trauma to the chest, or drug abuse. People who suffer from a collapsed lung may also experience a dry cough. You may also feel like you are being stabbed in the chest area when you breathe.

  • Pulmonary Embolism

Pulmonary Embolism occurs when one of the arteries going to the lungs becomes blocked. There are times when the blood clot may stem from the legs, but the pain will manifest underneath the rib cage. You may also suffer from shortness of breath or rapid breathing.

  • Tuberculosis

This is a severe bacterial disease that can spread through airborne droplets. Some tuberculosis patients have no symptoms, while others suffer from cough, fever, night sweats, and weight loss. This disease may also spread to the spine and brain. You can prevent this condition by taking vaccines.

  • Lung Cancer

Lung cancer is another reason for pain around the rib cage. You may suffer from a constant cough, tiredness, fast weight loss, and even coughing out blood. If you feel severe pain while breathing, your lungs may be infected. You should see your doctor have an x-ray examination immediately.

2. Kidney Disease

Kidney Stones
pain from Kidney Stones
  • Kidney Stones

Kidney stone, also known as urolithiasis, is a common painful disease. Stones can form in your kidney due to salt and mineral deposits.  Some small stones can be passed on together with urine, but some large stones may block the passageway. This will lead to kidney stones.

The pain caused by kidney stones may come and go in the lower back or lower abdomen. It may also spread to the groin area when the stones move through the urinary tract. You may feel a severe and sharp pain when urinating. And the urine is usually pink or red.

  • Pyelonephritis

This is an inflammation of the kidney due to a urinary tract infection. It can cause frequent urination, fever, and severe pain under the ribs or around the groin area.

  • Polycystic Kidney Disease

This condition happens when tiny fluid-filled sacs accumulate in the kidney. The sacs can also grow very large after some time. Polycystic Kidney Disease can cause a swollen abdomen, high blood pressure, and pain under your ribs.

3. Gallbladder Problems

  • Gallstones

The gallbladder is located in the upper right abdomen, just under the liver and rib. Gallstones may form in the gallbladder because of the cholesterol build-up. When the stones move into its ducts, you may feel sharp stabbing pains under your right rib cage.

The pain can also radiate to your right shoulder blades and back. Apart from the sharp pains, you may also have unspecific nausea, rapid heart rate, fever, and vomiting.

This pain can be very painful, and it is always hard to pass out urine. If a gallstone blocks the bile flow, you may feel intense and stabbing pain in the upper-right abdomen. The pain usually lasts for 15 minutes to 24 hours. Gallstone is a severe disease, and you should see your doctor immediately.

  • Gallbladder Cancer

This is malignant tumor-like liver cancer. Some people may have no symptoms, and others may suffer from abdominal pain, itchiness, fever, and weight loss. Other symptoms of Gallbladder cancer include indigestion, nausea, vomiting, yellow skin, and loss of appetite.

  • Intrahepatic Cholestasis of Pregnancy

This is a condition when the bile builds up in the liver due to the problems of bile ducts. This will damage liver function and cause severe pain in the abdomen. This condition often occurs in pregnant women, called intrahepatic cholestasis of pregnancy.

4. Liver Problems

Liver Problems
pain from liver problems

Liver problems are common causes of pain under the right rib cage.

  • Viral Hepatitis

Hepatitis can be caused by too much alcohol and viral infections. You may feel fatigued, fever, weakness, and abdominal pain under the right rib cage.

  • Liver Trauma

Severe external forces such as a car accident or surgery can damage the liver’s abdominal wall and cause liver trauma.

  • Alcoholic Liver Disease

Long-term excessive alcohol consumption can cause liver damage, leading to cirrhosis.

  • Fatty Liver Disease

Fatty liver refers to a condition wherein the liver acquires fat from the rest of the body. Usually, people suffering from obesity, diabetes, high blood cholesterol, and hypertension tend to have this condition.

  • Liver Abscess

This is a mass filled with pus in the liver. Some abdominal diseases such as appendicitis and diverticulitis can cause liver abscesses.

  • Liver Cysts or Hepatic Cysts

They are often accidentally discovered during the abdominal imaging procedure. Liver cysts are usually asymptomatic; however, they sometimes cause pain under the right rib cage.

  • Hepatic Arterial Occlusion

A block in blood flow to the liver can reduce oxygen to the liver tissue. This can cause pain under the right rib cage. Hepatic artery occlusion often occurs during chemotherapy.

  • Liver Cancer

Liver cancer is a malignant tumor. The typical symptoms include heavy abdomen pain, swelling, fever, brown urine, and unexplained weight loss.

The most common cause of liver cancer is hepatitis, alcohol, or the spread of cancer in other parts of the body. Liver cancer is life-threatening. If you suspect the pain is related to liver cancer, you should consult your doctor immediately.

5. Gastrointestinal Problems

  • Stomach Ulcers

Stomach ulcers are inflamed wounds on the stomach lining or appear in the small intestine. It can cause burning pain under the ribs that come and go. The other symptoms include acid reflux or even stomach bleeding.

Do not take aspirin or ibuprofen to cure stomach ulcers by yourself. These medications may worsen your condition, and you need to see your doctor as soon as possible.

  • Irritable Bowel Syndrome

Irritable Bowel Syndrome (IBS) is very common nowadays, a group of symptoms such as abdominal pain and difficulty in bowel movements. Many studies show that it is related to stress and an unhealthy diet. Although the real reason for Irritable Bowel Syndrome is not known, its symptoms are clear.

The common symptoms include lower abdomen cramps, nausea, diarrhea, excess gas, constipation, chest tightness, bloating, heartburn, and difficulty swallowing. You may feel less pain when you move your bowels. Some natural remedies such as vera juice and lemon juice can help get rid of IBS.

  • Inflammatory Bowel Disease

Inflammatory bowel disease (IBD) is usually caused by inflammation of the digestive tract. For example, Crohn’s Disease is an inflammatory bowel disease that some people get afflicted with.

The common symptoms of IBD include coughing, weight loss, severe diarrhea, ulcers, flatulence, difficulty in swallowing, blood in the stools, and pain under the ribs.

Colitis is another common inflammatory bowel disease. Young people tend to get this disease. This is mainly due to the bad eating habits of many young people.

The common symptoms of colitis include weight loss, vomiting, nausea, diarrhea, cramps, and severe abdominal pain. You can take anti-inflammatory drugs to relieve the pain.

  • Diverticulitis

Diverticulitis is an inflammation or infection of the pouches in the colon. It can lead to fever, nausea, and abdominal pain. You’d better go to the hospital for medical treatment.

  • Trapped Gas

When the body has difficulty digesting food, your system will produce many stomach acids and gas. Gas may be trapped in the digestive system and cause abdominal pain under your ribs. This pain is similar to the pain caused by appendicitis or gallstones.

Gas pain is usually caused by the regurgitation of food and acid reflux. Foods rich in carbohydrates, starch, and fiber are more likely to produce gas.

There are many natural home remedies for gas and bloating. For more information, you can read: 16 Best Ways to Get Rid of Gas and Bloating Fast.

6. Costochondritis

Osteochondritis is also known as chest wall pain. It refers to the inflammation or swelling of the muscles connecting the ribs and the sternum.

The pain caused by Osteochondritis is similar to the pain during a heart attack. Therefore, osteochondritis is often mistaken for cardiovascular disease. You can distinguish this condition from other symptoms such as abdomen pain, fatigue, fever, and difficulty in breathing.

The common causes of costochondritis include injury, fibromyalgia, respiratory diseases, arthritis, excessive coughing, and infection after surgery. You can take anti-inflammatory drugs to treat Osteochondritis.

7. Appendicitis

pain from appendicitis

If you are suffering from a dull pain that becomes sharper after some time, appendicitis may be the culprit. The pain from appendicitis usually starts from the belly button and spreads to the right abdomen below the ribs. As the pain spreads, the pain also intensifies.

You may feel sharp and intense pain around the location of the appendix. This means that your appendix has become inflamed. The other symptoms include nausea, diarrhea, fever, abdominal swelling, and vomiting all the time.

If you suffer from appendicitis, you should get medical attention immediately. When your appendix ruptures, this can be life-threatening.

8. Pancreatitis

Pancreatitis is an inflammation, infection, or swelling of the pancreas. This can cause sharp and intense pain under your right ribs. But sometimes, the pain may be intermittent or even unnoticeable. This pain may also spread to the sides and back of your body. You may feel a bit relieved when you lean forward.

The other symptoms of Pancreatitis include fever, pale yellowish skin, nausea, vomiting, and swollen, tender abdomen. The stools may also become oily and smelly when you have chronic pancreatitis.

Common pancreatitis causes include gallstones, drinking too much alcohol, organ injury, and heavy meals. It can be aggravated by eating fatty foods. Pancreatitis is a severe disease, and you must visit your doctor as soon as possible.

9. Injuries

Injuries are the most common cause of pain under the ribs. This pain can be mild or severe. Muscle strain can be restored by adequate rest. Pain caused by severe injuries or fractures can make your movements difficult.

A rib cage injury can also lead to other serious problems such as pleurisy and a collapsed lung. The injury may also damage the organs protected by your ribs, such as the liver, spleen, or kidneys. You will need an X-ray examination to determine how severe the injury is in this situation.

10. Pregnancy

The right rib cage pain is a common symptom during pregnancy, especially in the third trimester of pregnancy. Your baby stretches in the uterus, causing the uterus to extend outward. When your baby pressures your ribs, you may feel a sharp pain, and it will make your breathing difficult. If the baby pressures your stomach, you may suffer from stomach acid and indigestion.

In addition, pregnancy can dramatically change your body’s hormone levels. This can increase the size of your uterus and breasts and cause pain in the ribs. However, you do not need to worry; these symptoms will disappear after the delivery.

11. Lactose Intolerance and Celiac Disease

  • Lactose intolerance

This is a common gastrointestinal disease. It is caused by the lack of enzymes that digests lactose. You may feel nausea, bloating, cramps, gas, and diarrhea after eating lactose-containing foods.

  • Celiac disease

This is similar to lactose intolerance, which is due to intolerance to gluten. You may feel bloating, cramps, and diarrhea after eating wheat, rye, and barley, which may also cause osteoporosis and infertility.

You can take less milk and cereal to treat lactose intolerance and celiac disease. In addition, you can have it with other foods to slow down the digestive process.

12. Shingles

This is a painful rash caused by the varicella-zoster virus. This virus can also cause chickenpox. Anyone who has chickenpox has the potential to develop shingles.

You may suffer from a stripe of blisters on the skin. It can also lead to pain in your ribs area. To reduce the pain, you can take some antiviral medications such as valacyclovir or acyclovir.

13. Peritonitis

The peritoneum is a membrane that covers the abdominal organs. Peritonitis is the inflammation of this sac. A burst appendix can cause it.

You may suffer from tenderness, fever, nausea, vomiting, and severe pain. This condition is life-threatening. It would help if you got medical attention as soon as possible.

How To Deal With Pain Under Right Rib Cage
How To Deal With Pain Under Right Rib Cage

Types of Pain Under Right Rib Cage You May Experience

  • Pain under the right rib when breathing –  A pain that occurs when you breathe may be related to lung diseases like pneumonia and pleurisy.
  • Pain under the right rib after eating – If you have pain after eating, it may be related to digestive problems such as indigestion, heartburn, or peptic ulcer.
  • Dull pain under the right rib cage – Some people may suffer from a dull ache under the right rib cage that comes and goes. This may be related to gall bladder stones or some issues with kidneys. This pain can also change steadily from mild to severe and radiate to your upper back.
  • Sudden sharp stabbing pain in the right side under the rib cage – A sudden and sharp pain around your rib cage indicates an injury or muscle pull. It could also be related to the inflammation of your organs.
  • Sharp temporary cramping under right rib cage – Stomach gas is usually one of the common causes. You’d better pay attention to your diet.
  • Pain under the left rib cage in the back – Kidney problems such as kidney stones may cause back pain.

When to See a Doctor

If you already have the problem below, you should seek medical treatment immediately.

  • Sudden tightness pain under your breastbone.
  • Dizziness or Nausea.
  • Chills and Fever.
  • The pain radiates to your left arm and back.
  • Rapid breathing and heart rate.
  • Very low blood pressure.

24 thoughts on “13 Causes of Pain Under Right Rib Cage with Treatments

  1. I am Naveen ..i 18 years, iam suffering from pain in lower left and right ribs….from Last 10days …please help me….

  2. Pain in lower left side can indicate a series of problems.You’d better choose a good hospital for a comprehensive examination.

  3. I my names hannah i am 19 years old i am having pain under my rib on the right side of my body front and back i have heath issues but this is new do you have any idea whats wrong?

  4. What would be causing my right side right below my rib cage and above my hip bone to hurt??

  5. My name is Alexys and I’m 17 years old and I have this really bad pain under right rib cage on my right side and it feels like someone is stabbing me I don’t know what it could be. Do you think you guys can help?

  6. Hi I’m 51 I smoke out of shape! Wanted that out of the way! Now I do not have a gallbladder nor an appendix. I had a large cyst remove from my left adrenal gland. The surgeons went through the front. I developed hernias all down the opening so I had them fixed and a large piece of mess put in which the doctor screwed in. Well I have been having pain my right side lower ribs it hurts all the time. I’m scared that something is very wrong. Do you have any idea what it could be?? Could it have to do with the mess that’s in there?? Please answer me. Thank you Cathy

  7. A lot of reasons can cause lower ribs pain.You’d better go to the hospital to do a comprehensive examination.

  8. Hi My Name is Elvia I’ve been in severe pain under my left breast… It’s on my rib cage I don’t know what going on I’ve been like this for about a week it’s severe pain…my labs came out fine ultrasound came out fine… Can you please let me know what I should do…

  9. I had uncomfortable and then sharp pains on the left side of my rib cage last week, and this week I’m having the same pains on the right side. It did go away on my left side for a few days before starting on my right. What could this be?

  10. Hello
    My name is Gary and I’ve had a mild pain just inside my right rib cage for about 3 days now. The worst pain occurs when I hiccup. Sneezing, coughing and burping have almost no pain. Using my fingers to press up under my ribs causes some pain. I haven’t noticed any foods causing any problems.

  11. Stretch your arms out towards the sky, then put your hands together, reach even higher, then tilt to the left. hold for 30 seconds. repeat 5 times. it should stretch out the muscle in the rib area that is in spasm.

  12. It is probably gas. Your appendix and gallbladder are on your right side. Try taking a walk. That should bring you some relief.

  13. Appendicitis…..if you press on where it hurts and it relieves pain and when you let off it comes back……gwt to hospital as soon as you can to prevent your appendix from bursting

  14. I too have paid pains on my right side. Under my rib. I’ve had a colonoscopy, a lapraacopy, a CT scan, ultra sounds vaginally, and stomach. They thought I may have endo. And did a lapraacopy. Came back with nothing. This pain is soooo real. And hurts so bad at times. Especially after I eat. Or do more the. Uaual. I always have loose stools. When i have the pain it hurts worse to move. I get Nothing for pain. Idk what to do. But this pain under my right rib, and by my hip are so bad at times. Please help.. I feel like no one cares. I have to switch gi.. because I hate mine.. that I did have.

  15. And to add to what I wrote. Idk where it went after I sent it. But I’ve had this pain for at least a yr. I have a iud. But had the pain before. I smoke weed, and cigarettes but I’m trying to.quit them..the weed helps me eat bc I’m never hungry and when I do eat..it hurts so bad..then I have to go to the bathroom. I don’t have a gallbladder either. Idk what to do. And nothing to control my pain..and I have to kids. It’s really affecting my life.

  16. I have the same exact problems as you Megan. The doctors tell me there is nothing wrong. I don’t have a gallbladder either but I get this knots inside my stomach and they hurt so bad. You can only feel the knots when they show up. They come and go.

  17. Hello, I’m 18 years old. I have just experienced crampy pain on my upper right stomach just where under the rib cage so I assume the pain is from the gall bladder. I start to feel the pain in the afternoon but just partially and it’s gone. It even hurts more when I try to push it or fold my body. Tonight I eat snack and starts to feel the pain again and it’s even more obvious. Now it does not go away for half an hour. These days I have an overeat habit and eat just every night . I’m usually a healthy person and my BMI is in a healthy condition. Please clarify me whether it is too much gas or I may have gallbladder problem. My guardians don’t let me go to the hospital because they think it is just a temporary pain.

  18. Hi Meghan. Ask your GI Dr if you may have a hyperactive duct that is releasing bile. I had that and was prescribed colestipol and worked miracles.

  19. O have this pain also. Have had x-rays, a c.t. Scan. Doctors couldn’t find anything! Still have pain not getting better! I’m so confused. Help

  20. I had the same pain after food. But it also caused severe anxiety chest pain and fatigue. I had an ultrasound on my gallbladder and there were no stones. My nurse practitioner said she had the same thing happen to her. She had a Hida Scan done and found it was filled with sludge and her gallbladder was only functioning at 2% so they removed her gallbladder! She wanted to send me for the hida scan but I’m scared. I’ve managed to keep the pain at bay by taking bile salts and enzymes. But after 4 months the pain is coming back. I’m seeing my NP in a couple days and asking for the Scan?

  21. You have fatty liver i have same symptom like you,your liver is enlarge and you need to start made diet immediately.If you drink stop because after hepatic attack what is pain under right rib the next is vomit then watery diarrhea for several days and the final cirrhosis of liver

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