What is this pain below my right rib cage?

Question

So for the past 4 days I have had stomach pains, and the majority of the pain is right below my right rib cage. What could this be? (I am 22 years old, and it isn't my appendix because that was already taken out).

gas has been ruled out after 4 days of pain and laxatives

Answer 1

Sounds like it could be ur gall bladder, a pulled muscle, or a kidney stone. If this continues, go to the Dr. This could get worse, and need to get to the core of the problem. Place some ice on the site- a bag of veggies make a great ice bag-take up to 800 mg every 6 hours as needed for the pain. And get some rest. Hope this helped. Good luck and Take care!

Answer 2

It sounds like food poisoning and your intestines
is under the bottom of your ribs. Drink cram grape and lots of water no meats or milk products for at least 72 hrs all veg cooked and pasta chew well.
a light diet. It can take up to 72 hours to clean your system.Good luck. Peace

Answer 3

Depending on how far down it is, it could be a kidney stone?! I had a kidney stone not long ago and it hurt on my right side from my back to my rib cage... sometimes when it really hurt i felt like i couldn't breath..... if you have insurance you should definintly go to the doctor and get it checked out!!!

Answer 4

I had a similar pain; turned out to be my gall bladder. If you eat greasy foods (including peanut butter!) and the pain gets worst, maybe causes vomiting, I would say gall bladder.

Answer 5

3

Answer 6

2

Answer 7

1

Answer 8

Your gall bladder seems to be giving you trouble but most of the time the pain shoot upthe shoulder them pains around your ribs

Answer 9

as an emt/paramedic, i am supposed to ask ask to you all of these questions before i can even get an idea of what may be wrong


where exactly does it hurt? (the exact spot is pretty important- and what you consider your 'right rib cage' may be different than what others consider it as)
when did the pain start? (you say four days- but where were you...
what were you doing when it started?) (maybe you were doing some kind of strenuous activity, yelling?)
do certain things make it feel better? worse?
what kind of pain is it? sharp? dull? burning? tingling? like tiny needles? shooting pain?
does the pain move anywhere? radiate to other parts of your body?
gradual or acute onset?
is it continuous or intermittent?



anyways:
Pain in the right upper quadrant can be caused by a wide variety of conditions. The age, sex and general condition of the patient will influence the likely diagnosis. History and examination will also focus the differential diagnosis. Features such as acute or chronic onset, weight loss, pyrexia, general malaise, urinary or bowel symptoms may all help point to a diagnosis. It is important to decide if there is an acute abdomen.




Liver and Gall Bladder Disease
Liver Disease is usually only painful if it stretches the capsule of the liver as in congestive heart failure. The liver can be damaged by blunt trauma. Hepato-splenomegaly can occur with malignancy such as lymphoma or chronic myeloid leukaemia or with auto-immune disease including primary biliary cirrhosis.
The Budd-Chiari syndrome can present with right upper quadrant pain.
Gall stones are common and become more common as years advance. Most are asymptomatic but they can cause pain at any time.
Other gall bladder disease includes carcinoma of the gall bladder that is always associated with stones too.
Ascending cholangitis has a classic triad of pain, fever and jaundice.


Bowel lesions
Lesions of the hepatic flexure include carcinoma, diverticulosis, ischaemic colitis, constipation and Crohn's disease.
Atypical acute appendicitis must be considered.
Recurrent symptoms can be caused by Irritable bowel syndrome.
Meckel's diverticulum can present in a variety of ways, usually in children. The diagnosis is usually made at laparotomy. There is often blood loss per rectum.


Cardiovascular Disease
Pain from a dissecting abdominal aortic aneurism is usually most marked in the back and may originate in the chest and spread down the legs. Other arteries can have aneurisms and bleed.
Cardiac pain may occasionally present as upper abdominal pain.
Congestive cardiac failure may stretch the liver capsule.
Renal disorders
Pyelonephritis.
Nephro-lithiasis.
Hydronephrosis.
Renal carcinoma.
Other disease of the kidney or ureter, including obstruction of the urinary tract.



Respiratory Disease
Pain may arise from the right lower lobe of the lungs.

Lobar pneumonia
Infarction from pulmonary embolism. If this is suspected, check for evidence of deep vein thrombosis.
Endocrine or Exocrine Disease
Diabetic ketoacidosis.
Addisonian crisis.
Adrenal tuberculosis.
Metastatic carcinoma.
Pain from the pancreas tends to be central and higher in the back, often between the scapulae although can be atypical and misleading. Amylase is raised in intestinal obstruction but in acute pancreatitis it is very high.
Carcinoma of pancreas tends to produce an aching pain between the scapulae, eased on leaning forward.
Infections
Herpes zoster can present as pain before the typical vesicles appear on the skin. It is the skin that is tender rather than deeper.
Subphrenic abscess or even gas after laparotomy or more often laparoscopy. Pain may also be referred to the shoulder.
A rare condition is Fitz-Hugh-Curtis syndrome.2 There is inflammation of the liver capsule associated with genital tract infection. It is said to occur in up to of patients with pelvic inflammatory disease (PID). Classically it presents as sharp, pleuritic right upper quadrant pain but signs of salpingitis can be absent.

Pregnancy
The last trimester of pregnancy gives added problems.3 Minor elevations of liver enzymes may precede life-threatening disease, such as acute fatty liver of pregnancy (AFLP) or HELLP. HELLP is a syndrome of late pregnancy with:

Haemolysis
Elevated Liver enzyme levels
Low Platelet count.
Pre-eclampsia, HELLP syndrome, and AFLP form a spectrum of disease that ranges from mild symptoms to severe life-threatening multiorgan dysfunction. They have been shown to be the primary causes of severe hepatic dysfunction during pregnancy.

Other considerations
Pain may be referred from nerves in the spinal column or peripheral nerves that supply the area.
Recurrent abdominal pain is not uncommon in endurance athletes and its diagnosis can be difficult.
Children are very non-specific about "tummy pain" and almost anything can present as such. Check ears, throat and urine. Mesenteric adenitis commonly presents with mild pyrexia and probably other lymphadenopathy.
Lesions associated with left upper quadrant pain may occasionally present on the other side. Situs inversus occurs in 1 person in 10,000.

Answer 10

Gas