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Problems about pain in gallbladder due to lesions on the liver - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
User :   Hello. I have lesions on my liver that were found during an ultrasound to check my gallbladder because of severe pain and vomiting. Well, I do have gallstones and sludge. Because I have a history of abdominal sarcoma, my oncologist sent me in for a series of tests to see what it is exactly on my liver. CT scan, MRI, and CT guided biopsy. I have 3 lesions. 1 on the left lobe of the liver and the others are on the right lobe. The only lesion that was biopsied was the left lobe. The results were that the lesion biopsied was not cancer. They think it could be FNH or Adenoma. The problem that I am having is this chronic excruciating pain from the right side of my liver to my back, near my shoulder blade. It's a horrible pain and I have been living with this for more than 9 months. My liver specialist says to see him in 3 months for more imaging, hopefully to try to determine if its fnh or adenoma. But while I wait, I am in such bad pain that I am nauseus. I just can't find any comfort. Also, my right hand and right eyelid starts to swell when the pain is at its worst. Please, please. I don't know what to do! I just want to be free from the pain. Prescription meds don't work anymore because I have been taking them for so long. I need some suggestions on what I should do.
Doctor :   Hi
User :   hello
Doctor :   May I know your age?
User :   35
Doctor :   Do you have vomiting associated with the pain?
User :   yes
Doctor :   Does the pain increase or decrease with food?
User :   neither at this point because I can barely eat anything anymore.
Doctor :   Do you have reduced appetite or are you losing weight?
Doctor :   Have you got liver function tests done?
User :   yes to reduced appetite. yes to losing weight. I've lost 50 pounds in the past 3 to 4 months. Yes to the liver function tests
Doctor :   Do you have the reports of the liver function test?
User :   not on hand, but my levels were normal 2 months ago. I did have another test done last tuesday, but I don't know the results.
Doctor :   You reported that you have pain for the last 9 months - has the intensity increased lately?
User :   it has increased to the excruciating level in the last 4 months
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Focal nodular hyperplasia and adenomas are generally asymptomatic conditions except if there is
Doctor :   *if they are large in size causing pressure effects or causing obstruction to the bile flow.
Doctor :   If you are not jaundiced and if your liver function tests are normal, and if the size of the lesions are small,
Doctor :   your symptoms aren't correlating.
Doctor :   In that case you will need further evaluation, a repeat scan or a histopathological examination / biopsy of the lesion.
Doctor :   As far as pain control is concerned, if regular pain killers aren't providing with the much required pain relief,
Doctor :   a stronger pain killer such as opioid analgesics or morphine may be used.
Doctor :   Alternatively a surgical approach may be necessary.
Doctor :   The later approach is based on the scan findings.
Doctor :   Since the treatment options are based on the examination findings and the reports of the scan, it is a difficult task to provide an opinion sitting from this far.
Doctor :   I would hence suggest you to send us the scanned copies of your previous reports
Doctor :   if you have access to it.
Doctor :   and the details of the treatment done.
Doctor :   So that we can go through it, if needed shall take an opinion from experts and get back to you on mail
Doctor :   Have you followed what I have suggested?
Doctor :   * copies to be sent
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