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If you’ve seen RUQ mentioned on an ultrasound report or during a check-up, it simply refers to the Right Upper Quadrant of your abdomen. Doctors use this term to describe where pain or issues occur, helping them locate the cause more precisely.

RUQ stands for Right Upper Quadrant. It’s one of the four main sections that doctors use to divide the abdomen. These quadrants help healthcare professionals describe the exact location of pain, discomfort, or internal organ issues more clearly.
When a doctor says “RUQ pain,” they’re referring to discomfort felt in the upper right side of the abdomen. This area includes several vital organs, so identifying pain here helps narrow down possible causes.
You’ll often see the term “RUQ” in medical notes, ultrasound reports, and physical examinations. It’s a quick and accurate way for healthcare providers to communicate findings and make decisions about further tests or treatments.

The RUQ contains several important organs that play key roles in digestion and body functions:
To visualize it, place your hand on the right side of your upper abdomen, just below your ribs. That’s roughly where the RUQ is located. Any discomfort here can often be linked to one of these organs.
Pain in the RUQ can have many different causes. Because several organs are located in this area, even mild discomfort may point to different underlying issues.
Some of the most common causes include:
Interestingly, more than one-third of patients with acute RUQ pain don’t have acute cholecystitis. This means that while gallbladder inflammation is a common concern, many other organs in the area can be responsible for the discomfort. That’s why a thorough evaluation is essential to identify the true cause instead of assuming it’s always related to the gallbladder.
If the pain is strong, lasts more than a few hours, or comes with symptoms like fever, nausea, or yellowing of the skin, it’s important to seek medical advice. Early check can help prevent complications and ensure proper treatment.
When someone experiences pain in the right upper quadrant, doctors use several steps to find the cause. The goal is to identify which organ is affected and what’s triggering the discomfort.
Here are the most common diagnostic methods:
While mild abdominal pain can sometimes go away on its own, certain symptoms mean it’s time to get medical attention. Don’t ignore pain in the RUQ if it comes with any of the following:
Doctors divide the abdomen into four quadrants to describe pain and findings more precisely:
No, not always. While the liver and gallbladder are key organs in the right upper quadrant, pain in this area can also come from the lungs, ribs, intestines, or even muscles. Sometimes, nerve irritation or referred pain from the chest or back can be felt in the RUQ. That’s why it’s important not to assume the cause without a medical evaluation.
If a basic ultrasound or imaging test doesn’t reveal the reason for the pain, doctors may suggest additional evaluations such as CT scans, MRIs, or endoscopy to get a closer look at the organs. Blood tests can help detect inflammation or infection, while specialized scans like HIDA or MRCP assess bile flow and gallbladder function. These more detailed tests help find issues that may not appear in standard imaging results.
Yes, they can. Gas buildup, indigestion, or bloating can stretch the intestines and cause temporary discomfort in the RUQ area. This type of pain usually improves after passing gas, burping, or bowel movement. However, if the discomfort happens often or is severe, it’s best to consult a doctor to rule out underlying issues with the gallbladder, liver, or intestines.

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