Feeling pain in the right side under your ribs can catch you off guard — it’s uncomfortable, distracting, and often a bit worrying. Whether it’s a dull ache, sharp jolt, or pressure that won’t go away, this type of pain is common and can come from a variety of causes, some minor and others requiring medical attention. The key is understanding what’s behind the discomfort.

Before you let your imagination run wild, let’s explore the most common reasons for right-sided rib pain and when it’s time to get it checked out.

Understanding What’s Located Under the Right Rib Cage

The right side of your ribcage protects several important organs and structures, including:

• Liver

• Gallbladder

• Right kidney (toward the back)

• Part of the colon and small intestine

• Diaphragm and surrounding muscles

Pain in this region could stem from digestive, muscular, urinary, or even vascular causes. Pinpointing the location and nature of the pain is the first step toward clarity.

Common Causes of Pain in the Right Side Under Ribs

1. Gallbladder Issues

One of the most common culprits. Conditions like gallstones or cholecystitis (inflammation of the gallbladder) can cause a sharp, stabbing pain on the right side under your ribs, especially after eating fatty foods. Pain may also radiate to the back or right shoulder.

2. Liver Conditions

A dull or aching sensation under the right ribs can indicate liver inflammation, fatty liver disease, or hepatitis. These conditions may also come with fatigue, yellowing of the skin or eyes, or changes in appetite.

3. Kidney Problems

If your pain is deeper and located more toward your back, it could be linked to your right kidney. Kidney stones, infection, or hydronephrosis (fluid buildup in the kidney) may cause pain, along with symptoms like fever or painful urination.

4. Digestive Disorders

Sometimes, it’s just trapped gas or constipation. IBS, gas buildup, or acid reflux can all cause discomfort or cramping sensations under the ribs. If the pain comes and goes or improves after passing gas, digestion could be the issue.

5. Muscle Strain or Rib Injury

Did you recently lift something heavy, cough excessively, or twist your torso? A pulled intercostal muscle or bruised rib can lead to localized pain that worsens with movement or deep breaths.

6. Vascular or Circulatory Concerns

Although less common, pain under the ribs may also result from vascular conditions like restricted blood flow, inflammation of vessels, or even early signs of a circulatory disorder. If the pain is paired with fatigue, swelling, or unexplained shortness of breath, it’s time to take a closer look at your vascular health.

When to See a Doctor

It’s easy to brush off occasional aches, but there are times when this type of pain needs medical evaluation. You should consult a doctor if:

• The pain is sharp, sudden, or worsening

• You have nausea, vomiting, or fever

• There’s yellowing of the skin (jaundice)

• You notice pain when breathing or shortness of breath

• There’s blood in your urine or stool

• The pain lasts longer than a few days or interferes with daily life

Trusted Heart & Vascular Care at Apex

At Apex Heart & Vascular Center, Dr. Yasir Akram, MD, MPH, FACC, FSCAI, and our skilled team provide expert, compassionate care for a wide range of heart and vascular conditions. With convenient locations in Houston, Tomball, and Cypress, TX, we use advanced diagnostic tools to uncover the root of your symptoms — including pain under the right ribs that could be linked to circulatory or vascular issues. Whether it’s a concern about blood flow, chest discomfort, or unexplained fatigue, we take a comprehensive approach to your care and guide you through every step of your treatment plan.

Managing Mild Discomfort at Home

If the pain is mild and not paired with alarming symptoms, try the following:

• Apply a heating pad for muscle soreness

• Avoid heavy or greasy foods

• Stay hydrated

• Try light movement or stretching

• Monitor symptoms for any changes

However, if symptoms persist or worsen — don’t wait.

Final Thoughts

Pain in the right side under your ribs may be caused by something as minor as gas or as serious as gallbladder disease or vascular issues. The only way to truly know is through a proper medical evaluation. If you’re experiencing persistent or unexplained rib pain, Apex Heart & Vascular Center is here to help. Our experienced team offers comprehensive care, advanced testing, and clear answers — so you can breathe easier and feel better, faster.