The pain and distension in both ribs after meals may be caused by gallbladder diseases (cholecystitis, bile duct stones, etc.) and liver diseases (viral hepatitis, alcoholic liver disease, etc.). 1. Gallbladder diseases: such as cholecystitis, bile duct stones, etc. are often seen after meals, because the gallbladder cavity is blocked, bile is not discharged smoothly, the lack of bile to help digest lipids after eating, resulting in pain and swelling in the ribs, which can be accompanied by nausea, vomiting and other symptoms. 2. Liver diseases: such as viral hepatitis, alcoholic liver disease, drug liver disease, etc., because of abnormal liver function, affecting the secretion of bile, resulting in the lack of bile after meals to help digest food, causing distension and pain in both ribs. It is recommended to consult a doctor in time to find out the cause of the disease and treat it as soon as possible to avoid delaying the condition.