[46F] Experiencing liver, chest, shoulder, arm, and leg pain

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Gallstones: These are hard deposits that form in your gallbladder, a small organ under the liver. They can cause pain in the upper right abdomen where the liver is located, as well as referred pain to the shoulder or back. However, gallstones are usually associated with pain after eating, especially fatty meals, which you did not mention.

• Heart conditions: Given your history of type 2 AV block, your chest and arm pain could be related to your heart. Conditions such as angina or even a heart attack can cause these symptoms. However, these conditions usually cause chest pain that radiates to the arm, which you did not describe.

• Musculoskeletal pain: This could be due to overuse, strain, or injury to muscles, tendons, and ligaments, and could explain your arm, shoulder, and leg pain.

• Liver disease: Given your liver pain and high ALT, there could be some inflammation or damage to your liver. However, liver disease is usually associated with other symptoms such as jaundice, which you did not mention.

What you can do

You should seek immediate medical attention given your chest and arm pain, as well as your history of heart disease. These could be signs of a serious heart condition.

For your liver pain, you should also seek medical attention. Your doctor may want to perform further tests to determine the cause of your pain and elevated liver enzymes.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Chest pain that is severe, lasts more than a few minutes, or comes and goes
• Shortness of breath
• Nausea, indigestion, heartburn, or stomach pain
• Pain that spreads to the arm
• You break out in a cold sweat
• You feel unusually tired or light-headed

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.