Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
191 Doctors are Online

Have mild fatty liver and pain under rib cage. Which specialist should I consult?

User rating for this question
Excellent
Answered by

Pulmonologist
Practicing since : 2003
Answered : 598 Questions
Question
I have a pain in my right side under my rib cage, and it is always there but totally worse when lying down. It has been going on for awhile (At first I thought it might be muscular) but ben-gay, heating pads, and cold patches have not worked for some time now. It gets sharper when lying down and I get mild spasms there. I had a liver ultrasound in October of 2011 because of slight pain and it came out totally normal...liver, gallbladder and pancreas all normal. At that time my liver enzymes were all ok. Then in April of 2012 my ALT was normal but my AST was 52. I had another liver ultrasound ordered, 2nd one, and they said I had very mild fatty liver - and the ultrasound was unremarkable. My cholesterol was higher at 230, was in a cast all summer- hard to exersize ....I broke my foot this summer and was put on steriods and vicatin. And, I take clorazapam. I don't know why everything was ok and --now still pain, hard to sleep. Anyhow, was wondering what this pain could be and do I need to get yet another ultrasound - it would be my third in a short amount of time!? Strange because I had the pain the first time around and that came out normal ? My triglcerides are normal too. I did drink wine over the holidays somewhat? Drank tons of water too.
Posted Thu, 17 Jan 2013 in Lung and Chest disorders
 
 
Answered by Dr. Gyanshankar Mishra 16 hours later
Hi,
Thanks for posting the query on XXXXXXX After going through your reports (Your evaluation reports are of 2010), I would like to comment the following:

1. You seem to be having right sided chest pain for quiet some time now.

2. Your USG abdomen in april 2012 had shown fatty liver.

3. I suggest you visit a pulmonologist and rule out intrathoracic causes of chest pain.

4. Investigations required at this stage are repeat ultra sound chest and abdomen, Xray chest and if required CT thorax and abdomen. Any organic cause of the pain if present , should be picked up by these investigations.

5. A HIDA scan - liver & gall blader may be of some help.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologist
Above answer was peer-reviewed by
 
Follow-up: Have mild fatty liver and pain under rib cage. Which specialist should I consult? 17 hours later

I am just getting scared that this could be my liver. Why would it hurt so much when just lying down? Why would it be so sharp?
Could it be the medications or the higher cholesterol affecting it or something else? Or, does a glass of wine bother it? I had a perfectly healthy liver my whole life and a perfectly healthy one in the Oct. 2011 ultrasound...what would make things go so wrong in that amount of time?
Will make an appt.

Thank you.
 
 
Answered by Dr. Gyanshankar Mishra 39 minutes later
Hi,
Thanks for the follow up query. After going through your query, I would like to comment the following:

1. The pain could be due to liver, gall blader or intra thoracic (Eg. Pleural pain).
2. Fatty liver is seen in females. However you need to cut down on your alcoholic beverage intake.
3. Only investigations as advised above will help in pinpointing the exact cause of the pain.
4. Medications or the higher cholesterol need to be taken with caution in cases of fatty liver. Please consult your physician regarding this.
5. You can also get a second opinion by getting yourself clinically evaluated by a gastroenterologist.
6. Your liver functions need to be monitored at regular intervals.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologist
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Lab Tests
Medical Topics

The user accepted the expert's answer

Ask a Pulmonologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor