Is Your Liver in Trouble? Signs and Symptoms You Shouldn't Ignore

Is it true that liver damage is being circulated on the internet?

I have been experiencing a slight pressure sensation in the cartilage located in the middle of my ribs, slightly to the right, for the past two months.
It feels as if something is swollen inside.
I am unsure if this aligns with the first item mentioned.
I also frequently experience the third and fourth symptoms described in the article, which makes me a bit worried.
Could you please help me understand this, Dr.
Chen?
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When there are issues with the liver, especially in cases of hepatitis, the following four symptoms should not occur frequently:
1.
Dull pain in the right upper abdomen
2.
Aching pain in the right lower back
3.
Sensations of soreness, numbness, or pain in the right shoulder, which may even prevent the right arm from being lifted
4.
Cramps in the calves during sleep at night
When the liver has problems, our body may exhibit the following phenomena: The liver, resembling a fist, has a front and a back.
If the front becomes hardened or enlarged, it can compress the intercostal nerves, leading to pain; if the issue is at the back, it can cause right lower back pain.
The liver governs all the tendons in the body, and at night, blood must flow into the liver.
If there are liver issues, blood flow to the liver becomes more difficult, resulting in restless sleep.
Once blood finally enters the liver, it also has difficulty exiting, which means that the tendons require blood for nourishment.
When a person turns in their sleep, movement is needed, which requires blood supply.
If blood cannot easily exit the liver, the tendons become stiff, and excessive stiffness can lead to cramps.

Poor liver function can result in poor sleep quality, making it hard to fall asleep; upon waking, one may experience dry mouth, bitter taste, and bad breath, with bleeding gums while brushing teeth.
There may also be a lack of interest in food, feeling full after eating very little, and experiencing soreness in the calves after walking just a few steps, leading to increasing fatigue in the body and limbs.
Individuals with liver issues may frequently sprain their ankles, and injuries may take longer to heal.
Those who enjoy drinking may suddenly find their tolerance decreasing, or they may have chronic skin conditions that do not improve over time, all of which warrant attention to liver health.

Xu, 20~29 year old female. Ask Date: 2005/01/05

Dr. Chen Zhiping reply Gastroenterology and Hepatology

Hello, the content of the letter you received seems to reflect some misconceptions.
It appears to incorporate certain concepts from traditional Chinese medicine, but there are also some inaccuracies.
However, if you are experiencing these symptoms, it is advisable to seek medical evaluation.
The liver is located in the upper right quadrant of the abdomen, protected by the rib cage, and typically does not cause pain.
However, if there is an abscess or a large tumor, it may result in a dull pain.
Additionally, conditions affecting the gallbladder or bile ducts, such as stones or inflammation, can also cause pain in the upper right abdomen (under the rib cage).
Since your dull pain seems to be more centrally located, issues related to the stomach, esophagus, duodenum, or pancreas could also be possible.
Therefore, it is best to consult a physician for further evaluation.
Sincerely, Dr.
Chen Zhi-Ping, Internal Medicine.

Reply Date: 2005/01/05

More Info

When it comes to liver health, particularly for individuals who are chronic carriers of Hepatitis B, it's crucial to be vigilant about any signs and symptoms that may indicate liver distress. Your concerns regarding the sensations you are experiencing, such as pressure in the right upper abdomen and discomfort in the rib area, warrant careful consideration.

Firstly, let's address the symptoms you've described. The liver is located in the right upper quadrant of the abdomen, and while it is generally protected by the rib cage, any abnormalities or diseases affecting the liver can manifest as discomfort or pain in this area. The sensations of pressure or discomfort you are feeling could potentially be related to liver issues, but they could also stem from other gastrointestinal problems, such as gastritis, peptic ulcers, or even gallbladder disease.
The four symptoms you mentioned that should not be frequently experienced in the context of liver disease include:
1. Right Upper Abdominal Discomfort: This can be a sign of liver enlargement or inflammation. In chronic liver conditions, the liver can become enlarged (hepatomegaly), leading to discomfort as it presses against surrounding structures.

2. Right Flank Pain: This may indicate referred pain from liver or gallbladder issues, or it could be related to kidney problems.
3. Shoulder Pain: Pain radiating to the right shoulder can sometimes be associated with liver or gallbladder issues, particularly if there is irritation of the diaphragm.

4. Leg Cramps: These can occur due to electrolyte imbalances, which may be related to liver function, especially if the liver is not effectively processing nutrients.

In addition to these symptoms, other signs of liver distress can include fatigue, jaundice (yellowing of the skin and eyes), dark urine, pale stools, and unexplained weight loss. If you are experiencing any of these symptoms, it is essential to consult with a healthcare professional for a thorough evaluation.

Given your history as a Hepatitis B carrier, it is particularly important to monitor liver function closely. Regular check-ups, including liver function tests and imaging studies like ultrasounds, can help detect any changes in liver health early on. Elevated liver enzymes (such as GOT and GPT) can indicate liver inflammation or damage, and persistent abnormalities should be investigated further.

Moreover, lifestyle factors play a significant role in liver health. Maintaining a balanced diet, avoiding excessive alcohol consumption, and managing weight can help reduce the risk of liver complications. If you are experiencing fatigue or a lack of appetite, these could also be signs of liver distress, and addressing them with your healthcare provider is advisable.

In summary, while the symptoms you are experiencing could potentially relate to liver issues, they may also be indicative of other conditions. It is crucial to seek medical advice for a comprehensive assessment and appropriate diagnostic tests. Early detection and intervention can significantly improve outcomes for individuals with liver disease, particularly those with chronic conditions like Hepatitis B. Always prioritize regular monitoring and maintain open communication with your healthcare provider regarding any changes in your health.

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