Right Rib Pain: Causes, Symptoms, and When to Seek Help - Surgery

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Pain along the lower edge of the right rib cage?


Recently, I have been experiencing intermittent dull pain under my right rib cage.
What could this issue be, and what should I pay attention to? If I need to seek medical attention, which specialty should I consult? Thank you for your guidance!

ss, 30~39 year old female. Ask Date: 2004/10/25

Dr. He Zhenming reply Surgery


Hello: Dull pain under the right rib cage may be related to issues with the gallbladder or inflammation of the right colon and ribs.
Consulting a gastroenterologist should help address most of your concerns.

Reply Date: 2004/10/25

More Info


Right rib pain can be a concerning symptom, and understanding its potential causes, symptoms, and when to seek medical help is crucial for proper management. The rib cage protects vital organs, including the heart and lungs, and pain in this area can arise from various sources, ranging from musculoskeletal issues to more serious internal conditions.


Potential Causes of Right Rib Pain
1. Musculoskeletal Issues:
- Costochondritis: Inflammation of the cartilage connecting the ribs to the sternum can cause localized pain that may worsen with movement or deep breathing.

- Rib Fractures: Trauma or injury can lead to fractures, resulting in sharp pain, especially when breathing deeply or coughing.

- Muscle Strain: Overexertion or sudden movements can strain the muscles around the ribs, leading to discomfort.

2. Gastrointestinal Problems:
- Gallbladder Issues: Conditions such as gallstones or cholecystitis can cause pain in the right upper abdomen that may radiate to the right rib area.

- Liver Conditions: Hepatitis or liver enlargement can lead to discomfort in the right side, often accompanied by other symptoms like jaundice or abdominal swelling.

3. Pulmonary Conditions:
- Pneumonia: Infection in the lungs can cause referred pain to the ribs, particularly if the lower lobes are involved.

- Pleurisy: Inflammation of the pleura (the lining of the lungs) can lead to sharp pain that worsens with breathing or coughing.

4. Cardiac Issues:
- Although less common, conditions affecting the heart, such as angina or myocardial infarction, can present as pain in the upper abdomen or rib area, particularly in women.

5. Other Causes:
- Shingles: A viral infection that can cause pain and a rash in a band-like pattern, often affecting one side of the body.

- Referred Pain: Pain from other areas, such as the spine or abdomen, can sometimes be felt in the rib area.


Symptoms to Watch For
- Severity and Duration: If the pain is severe, persistent, or worsening, it warrants further investigation.

- Associated Symptoms: Look for accompanying symptoms such as fever, difficulty breathing, jaundice, or changes in bowel habits, which may indicate a more serious condition.

- Location of Pain: Is the pain localized or does it radiate? Does it change with movement or certain positions?

When to Seek Help
If you experience any of the following, it is essential to seek medical attention promptly:
- Severe or worsening pain
- Difficulty breathing or shortness of breath
- Fever or chills
- Jaundice (yellowing of the skin or eyes)
- Unexplained weight loss or changes in appetite

Which Specialist to See
Depending on the suspected cause of your right rib pain, you may need to consult different specialists:
- Primary Care Physician: For initial evaluation and management.

- Gastroenterologist: If gastrointestinal issues are suspected.

- Pulmonologist: For respiratory-related concerns.

- Orthopedic Specialist: If musculoskeletal issues are suspected.


Conclusion
Right rib pain can arise from a variety of causes, and understanding the potential underlying issues is key to effective management. If you are experiencing this symptom, it is advisable to monitor the pain closely and consult a healthcare professional for a thorough evaluation. Early diagnosis and treatment can significantly improve outcomes and alleviate discomfort.

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