What causes fluttering and twitching feel under the right rib cage?
Patient: For the past couple of weeks I've been feeling a fluttering / twitching feeling under or by my right rib cage. I have a fatty liver and didn't know if this is a sign that something may be worsening?  I've read it could be detoxing too.  It doesn't hurt, but is more annoying (like an eye twitch).  I'm overweight and can't reach under my rib cage like some suggest. Should I go to the doctor? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) because this can cause cause Fluttering and twitching sensations in rib cage. So consult doctor and get done 1. Ecg 2. 2d echo 3. Holter monitoring (24 hours continuous recording of ecg). If all these are normal then no need to worry for heart diseases. Sometimes, stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relax and calm. And loose some weight. This will cause subjective wellbeing and treat your fatty liver too. Don't worry, you will be alright. But first rule out arrhythmia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.