Pain Under Right Side Of Ribs

What Causes Middle Right Abdominal Pain?

Middle right abdominal pain can have various causes, ranging in severity from 'needs attention' to 'life-threatening'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose middle right abdominal pain, we could:
  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "middle right abdominal pain" as a symptom.  Here are seven possibilities:
  • Glomerulonephritis
  • Hepatitis
  • Gallbladder Disease
  • Kidney Stones
  • Kidney Disease
  • Liver Congestion
  • Hemochromatosis

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
darker/redder skin color
kidney stones in family members
history of elevated liver enzymes
weak urine stream
regular unexplained vomiting
poorly controlled diabetes
liver/gallbladder cleanses help
elevated liver enzymes
intolerance of both garlic and onion
having foamy urine
dark areas under eyes
occasional runny nose
... and more than 100 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of middle right abdominal pain:
Cause Probability Status
Kidney Disease 90% Confirm
Glomerulonephritis 24% Unlikely
Hepatitis 30% Unlikely
Liver Congestion 4% Ruled out
Hemochromatosis 3% Ruled out
Kidney Stones 2% Ruled out
Gallbladder Disease 1% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate abdominal pain, The Analyst™ will ask further questions including this one:
Do you have pain at the right side of your abdomen, between the bottom rib and the hip?
Possible responses:
→ No / don't know
→ Occasional slight/moderate discomfort
→ Frequent or continuous moderate discomfort/pain
→ Occasional severe pain
→ Frequent or continuous severe pain
Based on your response to this question, which may indicate mid-right abdominal discomfort, serious mid-right abdominal pain or severe mid-right abdominal pain, The Analyst™ will consider possibilities such as:

Flank pain may or may not be due to stretching of the renal capsule (the covering that forms the outside of the kidney), or to irritation of the muscle tissues surrounding the kidneys.  This flank pain is usually reported as a dull ache.  A very small percentage of patients seem to develop persistent, severe attacks of flank pain.