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Published on: 7/15/2026
Pain under your upper right ribs is often caused by gallbladder issues (such as gallstones or inflammation), liver conditions (like hepatitis or fatty liver disease), or musculoskeletal problems affecting the ribs, muscles, or nerves in that region. Digestive issues, kidney problems, or referred pain from the lungs can also be responsible.
Because the causes vary widely—from mild muscle strain to conditions requiring prompt medical care—it's important to identify what's driving your symptoms before deciding on next steps. A free, instant, online symptom check can help you quickly narrow down possible causes based on your specific symptoms, guide you toward the right level of care, and give you clarity on whether home management or a doctor's visit is warranted. It takes just a few minutes and could save you hours of worry.
Reviewed for medical accuracy: 07/14/2026
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Submit your own QuestionWhen you feel pain under the ribs in the upper right abdomen, there are a few possible reasons. One common cause is an issue with the gallbladder, such as gallstones or an inflamed gallbladder (cholecystitis), which often causes pain after eating fatty foods. The liver, also located in this region, might be irritated or inflamed from conditions like hepatitis. However, not all pain in this area comes from the organs. The muscles or bones near the ribs might also be the source. For example, a condition known as painful rib syndrome can cause discomfort due to irritation or inflammation where the ribs meet the muscles around them. Additionally, sometimes what seems like a liver or gallbladder problem might actually be related to other parts of the digestive system, such as the bile ducts, even if lab tests like alkaline phosphatase are raised. If you're experiencing pain under your ribs and want to better understand what might be causing it, you can check your symptoms to help identify potential causes before speaking with a healthcare provider, who can use tests like an ultrasound to get a clear picture and determine the exact source of your discomfort.
(References)
Johnson CD. ABC of the upper gastrointestinal tract. Upper abdominal pain: Gall bladder. BMJ. 2001 Nov 17;323(7322):1170-3. doi: 10.1136/bmj.323.7322.1170. PMID: 11711412; PMCID: PMC1121646.
Loffeld RJ. Het zwevende-ribsyndroom: een veelal niet herkende oorzaak van pijnklachten [Painful rib syndrome: a cause of pain complaints that often goes unnoticed]. Ned Tijdschr Geneeskd. 2002 Sep 28;146(39):1813-5. Dutch. PMID: 12382362.
Cheyne G, Runau F, Lloyd DM. Right upper quadrant pain and raised alkaline phosphatase is not always a hepatobiliary problem. Ann R Coll Surg Engl. 2014 Jan;96(1):118E-120E. doi: 10.1308/003588414X13824511650092. PMID: 24417861; PMCID: PMC5137652.
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