What’s going on with the tightness under the ribs?

Subcostal stuffiness is most often associated with liver and gallbladder diseases, such as cholecystitis, gallbladder stones or liver abscess. In the case of cholecystitis, it usually manifests as pain and bloating in the right upper abdomen, and since the gallbladder is underneath the arch of the ribcage, a feeling of suffocation occurs. If in an acute attack, the patient will also experience nausea and vomiting. If cholecystitis is recurrent, surgical removal of the gallbladder may be considered. In the case of gallbladder stones, which are asymptomatic in the early stages but some patients develop biliary colic, surgery is recommended. In case of liver abscess, there are usually symptoms of fever, which can be treated by puncture and extraction of pus from the liver abscess. At the same time, sensitive antibiotics should be selected for standardized anti-infective treatment, such as cephalosporin antibiotics, or culture plus drug sensitivity, and further selection of sensitive antibiotics.