Your abdomen is made up of 4 quadrants. The part of your body under your right rib cage is called the upper right quadrant, and sudden sharp pain in this area can impact the nearby organs such as the kidney, liver, and gallbladder.
You shouldn’t worry too much about this pain, but it’s good to know what is causing it and when to visit your physician.
Causes of sudden sharp pain under your right rib cage
Gallbladder problems
An excruciating pain under the right rib cage can indicate the presence of gallstones. These are tiny balls in the gallbladder made of cholesterol or bile. It’s common for an adult to have gallstones, and usually, there are no symptoms.
But, a blocked stone in a duct in the gallbladder can cause sharp stabbing pain under the right rib cage. This condition is called gallstones disease, and the pain can last around 5-6 hours.
Leaving gallstones disease untreated can cause inflammation
of the gallbladder. Moreover, it can result in fever, pale skin, and persistent pain.
Book an appointment with your doctor if your gallbladder area is hurting. Your doctor can diagnose the actual cause of pain and advise appropriate treatment.
Kidney problems
Another cause of pain under the right rib cage is a kidney stone. It is a hard formation of minerals in the urine found in the right kidney.
The formation of kidney stones is a common problem, and 1 out of every 11
individuals are affected by this issue.
Similar to gallstones, kidney stones don’t always cause painful sensations. But, if a kidney stone gets stuck in the urinary tract or results in an infection, it can cause sharp pain in the groin or lower back.
You may experience frequent urination and pain while doing so. In severe cases, blood can pass with urine.
Digestive problems
Indigestion can often cause a sudden sharp pain under your right rib cage as well as:
- chest pain
- slight stomach pain after eating
- bloating
- heartburn
- sickness
If you suspect that your discomfort is due to indigestion, you can simply change your diet and see what suits you better. However, it’s best to consult if indigestion keeps coming back and you’re experiencing:
- sickness
- anemia
- blood in your stool or vomit
- weight loss
- are aged 55 or older
The above symptoms can indicate heartburn. But if indigestion keeps coming back, it can cause severe complications.
Shingles
Shingles often cause pain and itchy rashes. The pain can be slight, sharp, or excruciating, and you may also have a headache or fever. Sometimes shingles can also cause sudden sharp pain under your right rib cage.
See your doctor if you have pain under the right rib and rash that you suspect to be shingles. This becomes more important if you are expecting or have a weaker immune system.
What to do
If you’re experiencing minor pain under your right rib cage, there’s nothing much to worry about, but if the pain is sharp or continuous, see your doctor. Schedule an appointment with the experts at Rheumatology Care of North Houston by calling 832.532.9779.
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Having pain under your right rib cage can be a worrying feeling. The part of your body just below your right rib cage is known as the upper right quadrant (RUQ) and is 1 of 4 quadrants – or areas – that make up your tummy (abdomen).
Pain in this area can be caused by conditions that affect the organs found here, including the liver, right kidney and gallbladder.
Be reassured that this kind of pain isn’t usually anything to worry about, but it’s important to know what may be causing it and when to see a doctor.
Should I get medical help?
If you don't know why you're getting this pain in right side under ribs, ask yourself the following questions:
- Is the pain persistent or severe?
- Do you feel breathless?
- Do you have a temperature (fever) but also feel shivery?
- Is your poo lighter in colour and your pee darker than usual?
- Is there blood in your poo?
- Have you coughed up blood?
- Have you lost weight?
- Is your skin yellow () at all?
If you answered yes to 1 or more of these questions, you should see a doctor immediately as these symptoms could be a sign of a serious medical condition.
If you answered no to these questions, here are some possible causes of right side rib pain.
Causes of pain under right rib
Gallbladder problems
A sudden, sharp pain under right rib cage can be a sign of gallstones. These are small stones of bile or cholesterol that are made in the gallbladder (a small organ located just below the liver).
Gallstones are common in adults but don’t usually cause symptoms.
However, if a stone gets blocked in a tube opening (duct) in the gallbladder, this can result in sharp, stabbing pain in the right side under your rib cage. This is known as gallstones disease, and the pain can last for up to 5 hours.
If you have gallstones disease and it’s left untreated, it can lead to swelling of the gallbladder (
), which can cause a fever, ongoing pain and yellowing of the skin.
You should see a doctor if you have pain in this area and you think it may be caused by gallstones, or if you have:
- yellowing skin
- a high temperature
- a faster heartbeat than usual
- pain that travels up to your shoulder — this could be a sign that your gallbladder is inflamed
Kidney problems
Pain under the right rib cage may also be caused by a kidney stone. This is a hard lump made from minerals in your urine that can develop in the right kidney. The medical term for this is nephrolithiasis.
are fairly common, with symptoms affecting around 1 in 11 people. They are slightly more common in men than women.
Like gallstones, kidney stones don’t always cause pain. However, if a kidney stone gets trapped in your urinary tract or causes an infection, this can result in severe pain which may be felt in the upper right area of your tummy or your groin or lower back.
You may also need to pee more often or experience pain while peeing, and you may have blood in your urine.
Kidney stones will usually pass out of your system in your pee, so even if you experience pain, this pain should stop once the stone has been removed from your body.
However, if the pain is severe, speak to a doctor immediately who may refer you to hospital. You should also speak to a doctor about any pain caused by kidney stones if you’re:
- aged 60 or over
- pregnant
- dehydrated (this can happen more easily if you’re also being sick or have diarrhoea)
- with only 1 kidney or your kidneys are impaired in some way
- still in pain after taking painkillers (speak to a pharmacist for guidance on what to take)
A
(pyelonephritis) can also cause pain in the upper right tummy area, especially if it affects the right kidney. But this is not as common. You may also feel weak, have diarrhoea or have a fever while feeling cold.
Kidney infections are slightly more common in women than men.
Liver disorders
The liver is a large organ, and takes up a lot of space in the upper right area of your tummy. Conditions that affect the liver and may cause pain in the area include:
This is an area of pus formed in the liver, usually the result of a bacterial infection. They are more common in people with
. If you have liver abscess, you may also experience reduced appetite, a fever and weight loss.
This occurs when the liver is inflamed, and can be caused by drinking too much alcohol or a viral infection. There are different types of hepatitis, and the condition can also cause a fever, itchy or yellowing skin, reduced appetite and tiredness.
This is caused by heavy drinking. You may also experience reduced appetite, diarrhoea and feel sick.
This prevents the liver from functioning as it should and is caused by long-term heavy drinking or a virus that causes damage to the liver (such as
).
Symptoms include a high temperature, yellowing of the skin or eyes, shortness of breath, black poo or blood in your vomit.
If you have symptoms of any of these conditions and are not sure of the cause, you should see a doctor.
Pancreas problems
The pancreas is a gland that sits just below the liver.
Conditions which affect it —
and
— can both cause pain in this area towards the middle of your tummy.
Acute pancreatitis, where the pancreas is inflamed for a short amount of time, may cause a more severe pain. If you have acute pancreatitis, you may experience symptoms such as feeling or being sick or pain under the rib cage.
If you develop a sudden, severe pain, you should see a doctor quickly.
Chronic pancreatitis usually causes a more dull pain, and this inflammation over a long period of time causes lifelong damage to the pancreas. A key symptom of chronic pancreatitis is recurring, severe pain in the tummy.
You should always see a doctor if you have severe pain or develop yellowing skin.
Digestive problems
Pain under your right rib can occasionally be caused by a common condition like
.
With indigestion you may also get chest pain and experience a more dull pain in your tummy following a meal. It can also make you feel bloated, have heartburn or feel sick.
If you think the pain may be caused by indigestion, you should be able to treat yourself by making changes to your diet. However, you should see a doctor if you keep getting indigestion (or think you have indigestion) and you:
- are aged 55 or older
- are being sick
- are
- have blood in your poo or vomit
- have lost weight unintentionally
These symptoms can be a sign of
, while recurring indigestion can lead to complications.
Shingles
Shingles is an infection caused by the same virus as
. Shingles is common, affecting 1 in every 4 people in their lifetime.
It usually results in pain (this is the most common symptom) and then an itchy rash. The pain can be dull, sharp or more intense, and you may also have a fever or headache. These symptoms can affect many parts of your body, including the area under your ribs.
If you have pain under right rib cage and you have a rash you think could be shingles, see a doctor. It’s especially important to see a doctor for shingles if you’re pregnant or you have a weaker immune system.
What to do
Any pain you feel under your right rib cage isn’t usually anything to worry about, but if the pain is severe or persists, you should see a doctor as it could be caused by an underlying condition.
Key points:
- The part of your body just below your right rib cage is called the upper right quadrant (RUQ)
- Pain under your right rib cage can be caused by conditions that affect the organs in this area, including the liver and gallbladder
- Usually pain in this area is nothing to worry about, but you should see a doctor if the pain is severe or persists