Published on: 4/7/2025
The pain under your upper right ribs can come from problems with your gallbladder, liver, or even from the muscles and bones near that area.
When 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. It is important to remember that many different issues can lead to pain under the ribs, so a healthcare provider will help figure out the exact cause based on your symptoms and may use tests like an ultrasound to get a clear picture.
(References)
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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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