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.

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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 eight possibilities (more below):
  • Glomerulonephritis
  • Kidney Disease
  • Pyelonephritis
  • Liver Congestion
  • Hepatitis
  • Kidney Stones
  • Gallbladder Disease
  • Possible Urgent Medical Need

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:
constant fatigue
calcium supplementation
severe hypogastric pain
inguinal pain
moderate unexplained fevers
slightly painful urination
hepatitis A
liver/gallbladder cleanses help
gallbladder attacks
being a recovering alcoholic
frequent red blood in stools
cysts in breasts
... and more than 130 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
Gallbladder Disease 97% Confirm
Liver Congestion 24% Unlikely
Glomerulonephritis 13% Unlikely
Hepatitis 5% Ruled out
Possible Urgent Medical Need 4% Ruled out
Kidney Disease 0% Ruled out
Pyelonephritis 0% Ruled out
Kidney Stones 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:
Glomerulonephritis

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.

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