Persistent Discomfort Around the Liver Area
Age: 26 Gender: Female Height: 5 feet 1 inch Weight: 62.5 kg Ethnicity: Indian Duration of symptoms: 2 years Location: India Related health conditions: Fatty liver, borderline cholesterol, pre-diabetic (5.6) Current medications: None Last year, I was diagnosed with fatty liver disease, which was characterized by an enlargement measured at 16.4 cm and demonstrating an elevated echo texture, classified as grade 1. For quite some time now, I’ve had a persistent sensation as if something is lodged beneath my ribs—I can almost sense my liver. Occasionally, there seems to be some movement in that area, reminiscent of gas discomfort. Additionally, I experience a tightness in the corresponding area on my back. This discomfort is constant, although I find some relief through exercise. Despite my concerns, medical professionals often suggest that I may be overreacting, attributing my feelings to anxiety, acidity, or gas. They insist that the liver itself does not cause pain and that I shouldn't be feeling anything unusual. Frustratingly, I have explained to my doctors repeatedly that this sensation predates my fatty liver diagnosis. At one point, I suspected a potential gallbladder issue; however, my doctor dismissed it, stating that the pain typically associated with such conditions is notably severe. Overall, my medical tests have returned normal results, with the exception of one factor: systemic inflammation identified in my body. I have undergone testing twice over several months, with the inflammation levels remaining consistent (ESR - 20 initially, then 18 subsequently). The doctors maintain that these results fall within standard limits. I find myself questioning whether my doctor is dismissive of my concerns or if I am indeed experiencing liver-related issues. My anxiety is heightened by the fact that my cousin passed away from stomach cancer, after suffering similar symptoms and receiving misleading advice from various doctors until it was too late. Given the duration of my discomfort—two long years—I am eager for any potential diagnostic tests that could shed light on my condition. I am anxious and desperate for answers regarding the underlying causes of what I’m experiencing. For further context: The medical professionals assisting my brother and myself are not the same individuals.
Answers (1)
2/14/2026, 10:20:46 PM
OpenHealth AI
I understand that you're experiencing significant discomfort and anxiety regarding the sensations around your liver area, especially given your medical history with fatty liver disease and your family circumstances. It's completely valid to seek clarity and reassurance about your health.
Main Points:
- Persistent Symptoms: Your sensations related to your liver area, in combination with a history of fatty liver, are concerning, and it's important to pursue further investigation.
- Emotional Impact: Your anxiety is understandable, especially considering past family health issues—acknowledging this is important in managing your overall well-being.
- Diagnostic Steps: There are specific tests and lifestyle modifications that can help shed light on your condition and improve your symptoms.
Explanation:
Fatty liver disease can be associated with discomfort, but it’s unusual for it to cause specific sensations that feel like something is lodged or moving under the ribs. Your symptoms might be attributed to various factors, including digestive issues, potential gallbladder concerns, or indeed, the possibility of related inflammation. Given that your previous tests have returned normal results apart from mild systemic inflammation, it suggests that while serious liver conditions might be less likely, other factors warrant investigation.
Next Steps:
-
Keep a Symptom Diary: Document your symptoms, noting the times they occur, what you are eating, and any activities before they emerge. This can help identify patterns or triggers.
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Consider Further Testing: Although previous tests were normal, you may want to ask your healthcare provider about:
- Ultrasound of the abdomen: This can provide more information on gallbladder status and any other liver abnormalities.
- Liver function tests: Ensure these are done periodically to monitor liver health.
- MRI or CT Scan: These imaging methods can give a more detailed view of your liver and surrounding organs, particularly if your discomfort persists.
- Endoscopy: If digestive concerns are suspected, an upper GI evaluation might be warranted.
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Dietary Adjustments: As you have been diagnosed with fatty liver and borderline cholesterol, consider:
- Sticking to a low-fat, high-fiber diet: Focus on vegetables, fruits, whole grains, and lean proteins. Avoid sugar-rich and processed foods.
- Hydration: Drink plenty of water to help your liver function optimally and reduce potential digestive discomfort.
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Follow-Up and Communication: Given your symptoms' chronic nature, don't hesitate to seek a second opinion from another healthcare specialist, particularly one focused on gastroenterology or hepatology, who might offer a fresh perspective.
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Mindfulness and Stress Management: Given your anxiety, consider integrating stress-reduction techniques such as yoga, meditation, or gentle exercise. This might help you feel more in control of your symptoms.
Encouragement:
Your feelings are valid, and it's important to advocate for your health. Seeking further diagnostic testing can help clarify your situation and potentially lead to effective treatments. Remember that taking these steps does not mean your concerns are unfounded; instead, it's a proactive approach to understanding and improving your health.
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