Coughing with pain in the right side of the ribs may be correlated with localized lesions, and the main diseases to beware of include intrapulmonary lesions, destruction of the ribs, and intercostal neuralgia. 1. Intra-pulmonary lesions: Intra-pulmonary lesions cause invasion and destruction of neighboring tissues, cause local activity during coughing, and cause nerve irritation that can lead to pain, and corresponding symptoms need to pay attention to checking for the presence of lung diseases. 2. Rib destruction: mainly including metastatic tumor, trauma, etc. caused by the rib bone condition is abnormal, can cause the right side rib pain when coughing. 3. Intercostal neuralgia: the corresponding symptoms may be related to intercostal neuralgia, which is mainly caused by intercostal neuritis. Once the right side rib pain persists after coughing, you need to consult a doctor for observation and standardized treatment after confirming the diagnosis of the disease.