A pain in the right side under the ribs can range from mild to severe—and it can stem from a variety of causes. Whether the discomfort feels sharp, dull, or intermittent, it’s important to understand what might be going on beneath your rib cage. This area of the body houses important organs like the liver, gallbladder, part of the intestines, and muscles that all play a role in digestion and mobility.
Let’s break down what different types of right-sided rib pain may mean.
Sharp Pain in Right Side Under Ribs
A sharp pain in the right side under the ribs can feel sudden and stabbing, often catching you off guard. This type of pain is commonly associated with gallstones, gallbladder inflammation (cholecystitis), or even a pulled muscle. If the pain comes on after eating a fatty meal or intensifies when taking a deep breath or moving, it could be digestive or musculoskeletal in origin. However, sharp, persistent pain should always be evaluated by a healthcare provider.
Dull Ache Under Right Rib Cage
A dull ache under the right rib cage is typically more subtle and may feel like a heavy or aching pressure. This symptom can result from liver inflammation, such as hepatitis or fatty liver disease. It can also be due to bloating, constipation, or issues with the colon in that area. Though not as urgent as sharp pain, a lingering dull ache shouldn’t be ignored, especially if it persists for more than a few days.
Stabbing Pain in Right Side Under Ribs
A stabbing pain in the right side under the ribs is often localized and intense. It may come in waves or feel like a cramp that tightens and releases. This kind of pain could be linked to gallbladder attacks, kidney stones, or intestinal gas that gets trapped and causes spasms. In rarer cases, it might signal an issue with the diaphragm or pleura (lining around the lungs), especially if it worsens when breathing deeply.
Burning Sensation Right Side Under Ribs
A burning sensation on the right side under the ribs is usually linked to digestive issues like acid reflux or gastritis, even though these are more commonly associated with the upper middle or left side. However, when acid backs up or irritation spreads, some people describe a burning feeling that radiates under the right ribs. Inflammation of the liver or gallbladder can also create a warm, burning discomfort in this area.
Pain Under Right Rib Cage That Comes and Goes
Some people experience pain under the right rib cage that comes and goes, which may point to intermittent issues such as gallbladder dysfunction or irritable bowel syndrome (IBS). The fluctuating nature of the pain makes it harder to pinpoint, but if it consistently follows eating patterns or stress levels, it’s worth tracking and discussing with a provider. Gallbladder attacks, in particular, often begin suddenly and subside on their own—only to return more aggressively later.
Discomfort Under Right Ribs
Discomfort under the right ribs can feel vague—like tightness, cramping, or internal pressure. It might not rise to the level of pain but can still interfere with your daily comfort. Gas buildup in the intestines or minor inflammation in the liver can cause this sensation. Also, poor posture or repetitive strain on the abdominal muscles can lead to subtle rib-side discomfort.
Pressure Under Right Rib Cage
Feeling pressure under the right rib cage may suggest a buildup or enlargement of an internal organ. Liver congestion, gallbladder swelling, or even bloating in the colon can press up against the ribcage and create a sensation of fullness or tightness. If you feel this pressure more when bending or twisting your body, it could also be muscular or structural.
Pain When Pressing Under Right Ribs
If you experience pain when pressing under the right ribs, this could be due to localized inflammation or tenderness. It may be from costochondritis (inflammation of the cartilage between the ribs), a bruised rib, or liver/gallbladder sensitivity. Pressing on the area and feeling discomfort may also help differentiate between surface-level issues (like muscle strain) versus deeper, organ-related pain.
When to See a Doctor
While mild or occasional pain under the right rib may not be cause for concern, persistent or severe symptoms should always be evaluated by a medical specialist. If the pain worsens over time, radiates to your back or shoulder, or is accompanied by fever, nausea, or vomiting, it could indicate a more serious condition involving your liver, gallbladder, or other internal organs. Pain that interferes with breathing or occurs after trauma or injury should also be assessed promptly.
Depending on the nature of your symptoms, your primary care provider may refer you to a gastroenterologist for digestive-related concerns, or a cardiologist if there’s a possibility the pain is heart-related. In some cases, imaging tests, lab work, or a physical exam will be needed to identify the underlying cause and determine the right treatment plan. It’s always better to address these issues early to avoid complications.
Final Thoughts
Pain in the right side under the ribs can be caused by a wide range of conditions—from minor gas pains to serious organ inflammation. By identifying whether your pain feels sharp, dull, burning, stabbing, or pressure-like, you can better understand the underlying issue and seek appropriate care. Don’t ignore recurring pain, even if it seems mild—it may be your body’s early warning sign that something isn’t quite right.