Hi. Thanks for your query. Noted the history about your daughter who is in Africa and understood your concerns. The pain in upper abdomen on the right quadrant site and going up under the rib case can be due to the following reasons: Liver pathology like hepatitis, abscess. Gall bladder infection with or without stone. any pathology of colon, stomach in this area can cause pains. Hence I would advise her the following: Ask her to consult a General Surgeon asap for clinical evaluation, examination and investigations of X-ray of abdomen, ultrasonography of abdomen, tests of blood for CBC, liver and other functions as per the clinical picture. This will give her a proper diagnosis and plan for management. If all the investigations are normal, ask her to talk to her about possible costochondritis.