Hidden pain under the right rib cage pulling pain when breathing may be due to pleurisy, spontaneous pneumothorax, intercostal neuralgia, treated by antibiotics, analgesia, etc., depending on the cause of the disease. 1. right pleurisy: due to inflammatory exudation from the pleura, friction may occur when breathing, resulting in pain, antibiotics such as penicillin, cephalosporin, metronidazole, etc. can be selected according to the cause of the disease; analgesic drugs, such as ibuprofen; if there is a serious pleural effusion, pleural puncture can be performed for treatment. 2. Spontaneous pneumothorax: it may be limited pneumothorax on the right side, resulting in pain, which can be treated by oxygen, closed chest drainage, etc., and can be treated by surgery if necessary. 3. Right intercostal neuralgia: it is mostly seen in intercostal neuritis or local herpes zoster virus infection. If it is intercostal neuritis, it can be treated with analgesic drugs such as aspirin and ibuprofen, and nutritive drugs such as vitamin B1 and methylcobalamin, and if it is a herpes zoster virus infection, it can be treated with antiviral drugs such as acyclovir. If the right side of the ribs under the hidden pain in breathing are tugging pain, you should consult a doctor in a timely manner, the relevant drugs should be used under the guidance of the doctor.