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Suggest Remedy For Pain From Tumor On The Liver

Posted on Sat, 9 May 2015

Question: I have a hiatel hernia and just found out I have a tumor on my liver that is benign. My pain is so intense and I have been in the ER twice this week. Although the tumor was not good news the Dr. Seems to think my pain is from the hernia. What foods should I avoid and what medications can I take to get relief?

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Benign liver tumor most likely wont require treatment ,

Detailed Answer:
Hello and Welcome

I appreciate your concern

Benign liver tumors include hemangioma, focal nodular hyperplasia, hepatocellular adenomas with the most common being hemangioma. Most likely the benign tumor wont be interfered with and would be left alone requiring no treatment. Pro kinetic agent and a proton pump inhibitor to have a control on the acid reflux and facilitate gastric content movement of contents downward. Elevation of the the head end of the bed , so that the regurgitation is prevented when lying down pushing the contents downward. regular exercise, avoiding night time meals at least 3 hours before going to sleep. Diet should include adequate fiber e.g Ispaghula and plenty of water and meals should be divided into 3 to 4 small ones over the 24 hour period rather than 1 or 2 large feasts. Try to avoid spicy, oily , fried fast foods.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Muhammad Sareer Khalil (8 hours later)

Thank you Dr. I do not understand some of the terminology you're using, I.e., focal nodular hyperplasia, hepatocellular adenomas. Please clarifyy. Also how long can a person go without getting treatment on the hemangioma? My doctor has referred me to a specialist 8 hours away from my home. I have 4 preteen children and this trip would be difficult now. Should I wait? Have you ever heard of this being hereditary? My mother had 75% of her liver removed 2 years ago and she was just tld another tumor has developed. Her liver has not regenerated, it is still at 25%. Is this normal? Thank you.

Answered by Dr. Dr. Muhammad Sareer Khalil (4 hours later)

Brief Answer:
explained below

Detailed Answer:
Hello again.

Focal nodular hyperplasia, hepatocellular adenoma are both different types of benign liver tumors just like hemangioma. The duration without treatment depends on whether there is progression in size of the tumor or not. If there are no acute onset symptoms then you may wait till its more feasible for you to go. No definite familial or genetic mode of inheritance has been described as of yet. You may elaborate what the cause of the resection of liver ( 75 % ) was for your mother.

Let me know if you have any query.

Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Muhammad Sareer Khalil (19 hours later)

My mother needed the liver resection due to the growth of her hemangiomas grew and one was pushing against her aorta valve so her surgery became necessary, I am now worried that my hemangioma will do the same the size is according to the p.a. 16x19x19 I was not given cm or milimeters.

On the other subject, I am feeling bloatiness, pain in the mddlr upper stomach region and I keep getting the response it could not be my hiatal hernia. If I have acid reflex and a small amount of barrets esophogus will the regimen of prilosec daily eventually cure it and take away this miserable pain?

Answered by Dr. Dr. Muhammad Sareer Khalil (17 hours later)

Brief Answer:
explained

Detailed Answer:
Hi,

I would again say that the surgical option would be considered if there is progress w.r.t size of the hemangioma that may impinge upon neighboring vital structures such as the abdominal aorta. I would leave that decision to the surgical and radiology team that is assessing the situation hands on.

GERD is commonly associated with hiatal hernia. Long standing GERD can lead to BARRETS esophagus. PPIs should be given to all patients with BARRETS esophagus. The evidence as to whether PPIs lead to a cure or regression of XXXXXXX esophagus still remains inconclusive but you should continue the prisolec

Wishing you best of health

Thanks

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D