The liver is the largest digestive organ in the human body. When the liver feels uncomfortable, it will show various symptoms. The liver can be said to be hardworking in the human body. If there are some minor problems, the liver can often solve them by itself, and the human body will not feel any discomfort. When the liver feels uncomfortable, it means that the liver function has declined significantly. At this time, you must be vigilant and go to the hospital for examination in time. What are the symptoms of liver discomfort Different patients with liver disease have different manifestations in the liver area, and there are many causes: people often feel a pricking pain in the liver area, or a stuffy discomfort, which comes and goes, as if something is stuck there. Most people can tolerate it, but it becomes obvious when they are angry, tired, active, or have eaten too much greasy, spicy or sour food. It can be relieved by bed rest or psychological conditioning. Some patients will experience radiation to the left side or to the back and shoulder, and feel a heaviness in the back. A small number of patients with liver disease may experience significant pain in the liver area, but this type of pain is rarely caused by chronic liver disease. Right upper abdominal pain or tenderness usually occurs in the acute stage of liver disease, such as acute viral hepatitis. It also occasionally occurs during a flare-up of chronic liver disease, but such flare-ups are uncommon. If the pain in the liver is always severe in one place, other causes must be considered. More likely it is gallstones, cholecystitis, and rarely, it may be liver cancer (mostly in the late stage). Detection of the cause of pain in the liver area 1. Imaging detection Color Doppler ultrasound is the simplest method for detecting pain in the liver area and making differential diagnosis. It is helpful for distinguishing cholecystitis, gallstones, hemangioma, etc., and of course it is also good for diagnosing liver cancer. Of course, MRI is more effective, including SCT, but it is expensive and not conducive to routine physical examinations. Gastroscopy is also of great value in distinguishing gastritis from other inflammations. 2. Biochemical testing: Liver function, AFP, and CEA tests are very practical, cheap, and effective, and are helpful in identifying the presence or absence of tumors and hepatitis. 3. Routine blood and urine tests can easily determine whether there is bacterial or viral infection, whether there are other diseases, etc. Causes of discomfort in the right liver area 1. Attack of hepatitis: It is spontaneous pain in the right hypochondrium, mainly in patients with acute hepatitis or acute attack of chronic hepatitis due to liver congestion, swelling, exudation and liver cell necrosis, the liver capsule is stimulated by the nerves and produces swelling, dull pain or needle-like pain. During physical examination, patients often complain of touch or percussion pain. 2. Chronic liver disease or cirrhosis: toxic hepatitis induced by drugs or poisons, cirrhosis, liver abscess, amoebic hepatitis, liver cancer, etc. 3. Biliary system diseases: cholelithiasis, biliary infection (including bacteria, fungi, parasites, stones, metabolites, etc.), bile duct cancer, etc. 4. Non-hepatobiliary system diseases 1) Chest wall lesions: such as local injury of the right hypochondrium muscles, rib fractures, chest wall contusion, costochondritis, osteomyelitis, herpes zoster, intercostal neuritis, chest wall tuberculosis, etc. 2) Pleural and lung tissue lesions: such as right-sided tuberculous pleurisy, pneumothorax, empyema, hemothorax, pneumonia, bronchial lung cancer, pulmonary embolism, etc. 3) Others: such as subphrenic abscess, etc. |
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