Hidden pain under the ribs during meals can be caused by biliary tract diseases, gastric diseases, coronary heart disease, intercostal neuralgia and other reasons. 1. Biliary tract diseases: cholecystitis, gallbladder stones and other diseases can cause pain below the rib cage during meals, mainly related to eating high-fat, high-cholesterol foods, which can lead to increased secretion of bile and increased tension in the gallbladder, which can lead to pain and discomfort in the gallbladder area below the rib cage. 2. Gastric diseases: chronic gastritis, gastric ulcer and other diseases can appear in the performance of subcostal pain when eating, but also with heartburn, bloating, acid reflux, belching (hiccups) and other manifestations, mainly due to food stimulation of gastric inflammation and ulcers. 3. Coronary heart disease: coronary heart disease, coronary artery stenosis, local blood supply is insufficient, angina symptoms can appear in the chest and other parts. When eating, the blood of the whole body is redistributed and gathered in the stomach to digest food, which can indirectly cause ischemia of the heart and induce angina attack, and pain and discomfort can appear in the area below the ribs. 4. Intercostal neuralgia: Intercostal neuralgia can occur in the intercostal area of radiating pain symptoms, mostly semi-ring distribution, can be attacked during eating, pain in the lower ribs, the condition is easy to be covered up or neglected, need to consult a doctor in a timely manner to clarify the diagnosis and treatment. If you have hidden pain under your ribs when eating, you should consult a doctor in time and take appropriate treatments under the guidance of a specialist, which will help to alleviate the pain and discomfort symptoms as soon as possible.