[19F] Experiencing severe liver pain and mid-back ache

Patient Description

A 19-year-old female reports severe pain in the liver area described as pressure, rated 10/10 in intensity, which started last night and comes in waves. The pain is partially alleviated by drinking water. No accompanying symptoms such as yellowing of the skin, fever, chills, nausea, or changes in urine or stool color were reported. Additionally, the patient experiences an aching pain in the middle of the back, rated 6/10 in intensity, which worsens with prolonged standing and started today. The patient has no known pre-existing conditions, allergies, or adverse reactions to medications, and is not currently on any medication.

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Arora's Assessment

What might be happening

Based on your symptoms, there are several possibilities:

  • Gallstones: Gallstones are hard deposits in your gallbladder, a small organ under the liver. They can cause pain in the right upper abdomen where the liver is located. The pain can come in waves and can be severe. Drinking water may help dilute the bile in your gallbladder, which could potentially alleviate some of the pain.

    • Treatment usually involves surgery to remove the gallbladder, especially if the pain is severe or recurrent. In some cases, medication may be used to dissolve the gallstones.
  • Liver disease: There are many types of liver disease that can cause pain, including hepatitis, cirrhosis, and liver cancer. However, these conditions usually cause other symptoms as well, such as yellowing of the skin and eyes (jaundice), changes in stool or urine color, and nausea.

    • Treatment depends on the specific type of liver disease. It may involve medication, lifestyle changes, or in severe cases, a liver transplant.
  • Musculoskeletal pain: If the pain is actually coming from your muscles or other tissues, not your liver, it could be due to overuse, strain, or injury. The fact that your pain is relieved by drinking water and worsens with standing for long periods suggests that it may be musculoskeletal in nature.

    • Treatment usually involves rest, pain relievers, and physical therapy.

What you can do

You should definitely see a doctor about your symptoms. They can examine you, order tests if necessary, and give you a definitive diagnosis. In the meantime, continue to drink plenty of water and try to rest. Over-the-counter pain relievers may help, but always use them as directed and do not exceed the recommended dose.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You develop other symptoms, such as yellowing of the skin or eyes, changes in stool or urine color, or nausea
  • You have a fever or chills

Remember, I am an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can examine you and understand your full medical history.

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1 yr ago

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People Also Ask


What are the common symptoms of gallstones?

Common symptoms of gallstones include severe pain in the upper right abdomen, pain that comes in waves, nausea, vomiting, and sometimes jaundice if a stone blocks the bile duct.


How can liver disease be identified if there are no visible symptoms like jaundice?

Liver disease can sometimes be identified through blood tests that check liver function, imaging tests like an ultrasound or CT scan, and a thorough medical history and physical examination by a healthcare professional.


What are some non-surgical treatments for gallstones?

Non-surgical treatments for gallstones may include medications to dissolve the stones, although this is less common and typically used when surgery is not an option. Dietary changes and managing symptoms with pain relief can also be part of the treatment plan.


How can musculoskeletal pain be differentiated from liver-related pain?

Musculoskeletal pain is often related to movement or posture and may worsen with physical activity or prolonged standing. It is usually relieved by rest and over-the-counter pain relievers, whereas liver-related pain might not be as affected by movement and could be accompanied by other symptoms like jaundice or digestive issues.


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