Liver pain, especially in patients with chronic hepatitis, should be careful of the occurrence of liver cancer. Liver cancer is a kind of malignant tumor, which develops rapidly and is extremely painful. Its danger is that it is not easy to find in the early stage. Once diagnosed, it is mostly advanced, so it is called "the king of cancer". All middle-aged patients with a long history of hepatitis, such as pain in the liver area, emaciation, unexplained fluctuation of transaminase, etc., should do B-ultrasound every 6 months, and do serum alpha-fetoprotein detection.
Incomplete pain in liver area is liver disease.
Liver pain is a very common clinical complaint, but it can be seen that liver pain is by no means a "patent" of liver disease. Clinically, patients who complain of liver pain should also consider the following diseases:
Biliary diseases, including cholelithiasis and cholecystitis. Because the anatomical location is close to the liver, "liver pain" often occurs. However, most of the pain sites are limited in fixation, showing dull pain or colic attacks, which can be diagnosed by B-ultrasound.
Second, colon cirrhosis syndrome. Also known as hepatic region syndrome. It is the "liver pain" caused by the expansion of colon liver curvature. Most of these syndromes have a history of "dysentery", "diarrhea" or mood swings. In addition to the feeling of pain, they are often accompanied by fullness and discomfort, as well as the feeling of burping. X-ray examination at the time of attack shows that there is obvious pneumatosis in the hepatic curvature of colon, which can be diagnosed.
Third, right diaphragmatic pleural lesions. Generally, it is tuberculosis or non-tuberculosis inflammatory adhesion. It can be expressed in medical history, chest X-ray can show pathological signs, and liver function examination and liver B-ultrasound examination are normal. The "pain in the liver area" caused by this kind of adhesion is mostly dull pain or dull pain, and no special treatment is needed, mainly to relieve the ideological burden and treat the symptoms.
Fourth, the right lower thoracic costal margin disease. More common in costal chondritis. This disease has obvious tender points locally, typical of costal cartilage uplift. Cough and deep breathing will aggravate the pain. If it hadn't been neglected during the physical examination, it shouldn't have been missed. Of course, liver function and liver B-ultrasound are normal, and the treatment is anti-rheumatic analgesia.
Strain of right upper rectus abdominis. Drivers and people who work at their desks often cause contraction fatigue of the right upper rectus abdominis, which is very common. Its sign is surface tenderness, which is more obvious when bending over, which is completely different from visceral pain. The treatment method is local cupping or procaine local blocking, and the effect is satisfactory.