What causes right upper abdominal pain while suffering from hepatic steatosis?
My question is multifaceted in that I had very noticeable RUQ abdominal pain. This is what led me to the local health clinic (PA, not an MD). I do not have health insurance at this time, hence the public clinic.
The RUQ pain did go away for about ten days after my initial alcohol abstinence. It is now back with a vengeance and is worse than before. Basically my liver is very sore to palpation. I also have started having a mild headache and just overall feeling horrible for the last 3-4 days. No fever, vomiting, XXXXXXX colored stool, etc but general mal-being.
With the following lab results in mind, here are my questions?
Can the RUQ pain be a result of my liver adjusting to NO alcohol?
If so what time frame am I looking at for it to subside?
With abstinence, will my liver heal? How long?
Can you please help me understand what these blood test results mean?
Can milk thistle supplement help with this? Hurt?
Here are the results of my ultrasound (2-16-16) and my bloodwork (2-12-16)
Comparison, abdomen CT 6-1-15.
Liver: Increased in echotexture without mass or cyst seen.
Common bile duct: 2.2mm
Right kidney: Normal.
Size: 11.6 x 6.3 x 5.5 cm
Feb 12, 2016 Total Bilirubin
Feb 12, 2016 Direct Bilirubin
Feb 12, 2016 Aspartate Amino Transf (AST/SGOT)
Feb 12, 2016 Alanine Aminotransferase (ALT/SGPT)
Feb 12, 2016 Alkaline Phosphatase
Feb 12, 2016 Total Protein
Feb 12, 2016 Albumin
Feb 12, 2016 Lipase
Alcohol abstinence don't cause RUQ pain.
I have gone through your question. I can understand your concern.
You have fatty liver changes due to alcohol.
Its very good that you give up the alcohol.
Alcohol abstinence causing anorexia, sleep disturbance, shaking of hand, disorientation etc. But RUQ pain is not due to alcohol withdrawal. It may be due to some other cause.
You should take healthy food and high protein diet. Regular exercise is most important in fatty liver.
It takes upto six months to get recovery from steatosis.
Milk and other protein supplements are helpful.
Your liver function tests reports like bilirubin level, liver enzymes, protein all are completely normal.
Your ultrasound abdomen is also normal except steatosis.
So don't worry about that. Just be relaxed.
You will get cured within short time.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
The User accepted the expert's answer
Get personalised answers from verified doctor in minutes across 80+ specialties
- Chronic hepatic steatosis
- Can hepatic steatosis cause pitting edema
- Staph infection right upper abdominal pain
- Symptomstreatment and diet for hepatic steatosis
- Right upper abdominal pain while pregnant
- Mild hepatic steatosis with borderline hepatomegaly
- Severe hepatic steatosis prognosis
- Mild hepatic steatosis
- Hepatomegaly and diffuse hepatic steatosis
- Marked hepatic steatosis