Right Side Rib Pain: When to See a Gastroenterologist - Gastroenterology and Hepatology

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There is mild pain on the right side?


I would like to ask about a slight swelling and pain I feel on the right side, near the lower ribs, around two to three ribs down.
Previously, this discomfort would only occur when I consumed certain foods, but recently it has become intermittent, happening every few days.
Each episode lasts for about a few minutes, and the pain level is only mildly bothersome.
What could this condition be? If I need to visit a hospital, should I see a hepatobiliary or gastroenterology specialist, or another department?

Xiao Ke, 20~29 year old female. Ask Date: 2019/08/21

Dr. Chen Shidian reply Gastroenterology and Hepatology


You can go to the gastroenterology outpatient clinic for an ultrasound examination to check for any abnormalities in the liver and gallbladder.

Reply Date: 2019/08/21

More Info


When experiencing right side rib pain, especially in the area just below the ribs, it is essential to consider various potential causes and when to seek medical attention. Based on your description of the pain being intermittent and mild, it could be related to several factors, including gastrointestinal issues, musculoskeletal problems, or even referred pain from other organs.


Possible Causes of Right Side Rib Pain
1. Gastrointestinal Issues: The right upper quadrant of the abdomen houses several vital organs, including the liver, gallbladder, and parts of the intestines. Conditions such as gallstones, liver inflammation (hepatitis), or even gastritis can cause discomfort in this area. If the pain is associated with eating, particularly fatty meals, it could indicate gallbladder issues.

2. Musculoskeletal Pain: Sometimes, rib pain can arise from muscle strain or injury, especially if you've engaged in activities that involve heavy lifting or unusual physical exertion. Poor posture or sleeping positions can also lead to discomfort in the rib area.

3. Referred Pain: Pain in the right side of the rib cage may not always originate from the ribs or the abdominal organs. It could be referred pain from conditions affecting the spine or even the lungs, such as pleurisy or pneumonia.

4. Functional Disorders: Conditions like irritable bowel syndrome (IBS) can cause abdominal discomfort that may be perceived as rib pain. This is often accompanied by changes in bowel habits or bloating.


When to See a Gastroenterologist
Given the nature of your symptoms, it would be prudent to consult a gastroenterologist if:
- The pain persists or worsens over time.

- You experience additional symptoms such as nausea, vomiting, changes in bowel habits, or unexplained weight loss.

- The pain is associated with eating or is triggered by specific foods, especially fatty or greasy items.

A gastroenterologist specializes in diagnosing and treating conditions related to the digestive system, including the liver and gallbladder. They can perform necessary diagnostic tests such as blood tests, imaging studies (like ultrasound or CT scans), and endoscopic procedures to evaluate your condition further.


Additional Considerations
Before your appointment, it may be helpful to keep a symptom diary. Note when the pain occurs, its intensity, duration, and any associated symptoms. This information can assist your doctor in making a more accurate diagnosis.

If your symptoms are mild and infrequent, you might consider monitoring them for a short period. However, if you notice any concerning changes or if the pain becomes more severe, do not hesitate to seek medical advice sooner.


Conclusion
In summary, while your right side rib pain may not seem severe at the moment, it is essential to remain vigilant about any changes in your symptoms. Consulting with a gastroenterologist is advisable, especially if the pain persists or is accompanied by other gastrointestinal symptoms. They can provide a thorough evaluation and recommend appropriate treatment based on their findings. Remember, early intervention can often lead to better outcomes, so trust your instincts and seek help when needed.

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