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
  • Hemochromatosis
  • Liver Congestion
  • Kidney Stones
  • Kidney Disease

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:
frequent nighttime urination
history of kidney stones
breast soreness during cycle
mild abdominal discomfort
long-term hypertension
having foamy urine
pain medication use
infrequent daytime urination
inability to recover from alcoholism
allergy to chemicals
fatty food intolerance
low sperm count
... and more than 110 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
Hemochromatosis 97% Confirm
Liver Congestion 16% Unlikely
Hepatitis 29% Unlikely
Kidney Stones 1% Ruled out
Kidney Disease 0% Ruled out
Gallbladder Disease 0% Ruled out
Glomerulonephritis 0% 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 unaffected by eating, abdominal pain reduced by eating or abdominal pain increased by eating, The Analyst™ will ask further questions including this one:
MIDDLE-RIGHT abdomen: Do you experience discomfort or pain below your lower right rib?
Possible responses:
→ No / only after meals / don't know
→ Occasional mild discomfort
→ Frequent mild and/or occasional moderate pain
→ Frequent moderate and/or occasional severe pain
→ Frequent or constant severe pain
Based on your response to this question, which may indicate mild right lumbar discomfort, moderate right lumbar pain, significant right lumbar pain or severe right lumbar 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.