Hidden pain in the right lower ribs may be related to intercostal neuralgia, cholecystitis, pleurisy and other causes. 1. Intercostal neuralgia: damage to the intercostal nerve, manifested as pain in the innervated area, paroxysmal or persistent pain, pain mostly in the chest or abdomen in a strip-like distribution. 2. Cholecystitis: including acute cholecystitis and chronic cholecystitis, inflammation caused by gallstones or bile duct obstruction, etc., leading to abdominal distension and discomfort, and pain in the right lower ribs. 3. Pleurisy: inflammation in the pleural cavity, manifested by chest pain, chest tightness, tingling or pulling pain in the lower ribs, and severe dyspnea may occur. There are other causes of right lower rib pain, and patients are advised to seek medical treatment in time to avoid delaying the condition.