The common clinical causes of right subcostal pain include liver diseases such as hepatitis, cirrhosis and liver cancer, gallbladder diseases such as cholecystitis, gallbladder stones and gallbladder cancer, and rib fracture, intercostal neuralgia and pleurisy, etc. The treatment modes of different causes are different, and medication and surgical treatment are needed.
1. Liver diseases: hepatitis patients are divided into hepatitis B, hepatitis C and other types, which need to be treated with interferon and other antiviral drugs; cirrhosis caused by hepatitis, besides interferon and other antiviral treatments, liver transplantation can also be given; primary liver cancer patients, according to the specific stage and typology, surgical treatments such as hepatectomy, postoperative radiotherapy and chemotherapy (oxaliplatin and so on) will be given.
2. Gallbladder diseases: cholecystitis and gallbladder stones patients, mild patients can be given antibacterial drugs such as amoxicillin, antispasmodic and analgesic treatments such as scopolamine, and cholecystectomy in severe cases; patients with gallbladder cancer can be given radical resection of gallbladder cancer according to the stage and typing, radiotherapy and chemotherapy (5-fluorouracil, etc.).
3. Rib fracture: external fixation and conservative treatment are enough for mild cases, while for serious cases, surgical incision and internal fixation is needed, and painkillers such as ibuprofen can be used during the period.
4. Intercostal neuralgia: Carbamazepine, phenytoin sodium and other drugs can be given for treatment.
5. Pleurisy: bacterial infection can be given amoxicillin and other antibacterial drugs, tuberculosis can be given rifampicin and other anti-tuberculosis drugs.
It is recommended that the patient go to the hospital, improve the auxiliary examination, the drug under the guidance of a professional physician.