<s>[INST] I have CP and no gallbladder I also know i have cysts on my liver could this cause this constant pain i have umder amd on my Right rib cage...from front all the way around the wing to the back...this constant pressure, discomfort, soreness to touch and certain point on my ribs and that constant ache below or underneath the ribs is a.constant thought [/INST] Dear friend,I am Dr. (Col) R Karanwal, M.D. (Internal Medicine), Consultant Physician,  for your assistance.Thanks for reposing your faith in me and post your query on this website. I fully appreciate your concerns. The common causes of pain in the area described by you are enlarged liver, abscesses or any other lesions in liver, infection of gall-bladder, congested liver. Other causes can be inflammation of the lining over the Rt. lungI presume that cysts in liver were detected in Ultrasound. However, information of the nature of cysts (benign/infected etc)  has not been revealed. I am afraid that the pain will persist till the underlying cause is diagnosed and treated.Please feel free to revert back to me along with ultrasound and other investigation reports to enable to pinpoint the cause and suggest specific management.I am confident  that you will benefit from the advice.May I assure you that I am always available for your assistance.  My endeavor would always be to give you a sound medical advice,  to the best of my knowledge and vast experience.HAVE A NICE DAY AND A SPEEDY RECOVERY.Fond Regards,Dr.(Col)  R KaranwalMBBS; M.D. (Internal Medicine)Consultant Physician(PLEASE NOTE :- My opinion/advice is based SOLELY on the details provided by you.) </s>