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Published on: 4/7/2025

What Could Cause a Dull Sensation in the Upper Right Abdomen?

A dull sensation in the upper right belly can be caused by issues with the gallbladder or liver. It might be due to gallstones, inflammation (like cholecystitis), or liver conditions.

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Explanation

When you feel a dull ache in the upper right belly, the cause might be related to the gallbladder or liver. Here are some common reasons:

  • Gallstones: Tiny, hard pieces that form in the gallbladder can block ducts and cause discomfort or pain. This is sometimes known as biliary colic.
  • Cholecystitis: When the gallbladder becomes inflamed, usually because of a gallstone blocking it, you may feel a steady, dull ache.
  • Liver Problems: Conditions such as hepatitis (inflammation of the liver) or fatty liver disease can also make your right upper quadrant feel tender or uncomfortable.
  • Other Possibilities: Sometimes, muscle strain or other nearby organ issues may feel like they are coming from this area as well.

Doctors often start with an ultrasound to see what may be happening inside. It can help them check for signs of gallstones, inflammation, or liver changes. If you have ongoing discomfort, it is important to talk with a healthcare provider to find the right cause and treatment.

(References)

  • Revzin MV, Scoutt LM, Garner JG, Moore CL. Right Upper Quadrant Pain: Ultrasound First! J Ultrasound Med. 2017 Oct;36(10):1975-1985. doi: 10.1002/jum.14274. Epub 2017 Jun 6. PMID: 28586152

  • Expert Panel on Gastrointestinal Imaging; Russo GK, Zaheer A, Kamel IR, Porter KK, Archer-Arroyo K, Bashir MR, Cash BD, Fung A, McCrary M, McGuire BM, Shih RD, Stowers J, Thakrar KH, Vij A, Wahab SA, Zukotynski K, Carucci LR. ACR Appropriateness Criteria® Right Upper Quadrant Pain: 2022 Update. J Am Coll Radiol. 2023 May;20(5S):S211-S223. doi: 10.1016/j.jacr.2023.02.011. PMID: 37236744.

  • Bennett GL. Evaluating Patients with Right Upper Quadrant Pain. Radiol Clin North Am. 2015 Nov;53(6):1093-130. doi: 10.1016/j.rcl.2015.06.002. Epub 2015 Aug 12. PMID: 26526429.

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