Hello and welcome to HCM
Usually end stage liver disease
is not associated with pain.
But if there is associated pain there may be involvement of nerves / nerve plexus in the vicinity of the liver secondary to disease process.
The ascitis and the edema in the lower limb is due to the end stage liver disease.
Now there are two options. Firstly a liver transplant
, which is available in many countries (I don't know whether it is available in your country).
However, your treating doctor will be able to tell whether it can be done in your case at this stage.
Secondly, it is imporatant to relieve the pain and the disabling edema to improve the quality of life.
of ascitic fluid can be done. This implies that fluid is removed from the abdominal cavity as soon as it is filled.
Pain can be relieved by drugs or by palliative surgery. In this surgery the nerves causing pain are divided or the the organ causing the pain is partially removed.
The curative option is liver transplant.
Other options will relieve the discomfort and pain only but will not cure the disease.
Thanks and take care
Dr Shailja P Wahal