Discussions By Condition: Liver conditions

Mild Fatty Liver - Can Mild Upper Right Abdominal Pain be the ONLY Symptom?

Posted In: Liver conditions 3 Replies
  • Posted By: geekstarpilot
  • March 31, 2008
  • 03:41 AM

Firstly thank you to all who take the time to read my post and a bigger thanks to those who take the time to reply.

About 2 weeks ago I started to get mild to moderately intense pain in the upper right quadrant of my abdomen. When this pain was at it's most intense I would also feel pain in my right testicle.

The main location of the pain is the space between the bottom of my rib cage and top of my pelvis. This pain feels like is coming from the inside and occasionally it can feel "squirmy". The tends to "wander" around a bit. Sometimes it can be felt just to the right of my navel. When the pain is near my navel the pain is more like a burning or stinging sensation.

The average level of the pain has subsided but I still have an almost contsant dull ache.

After visits to my doctor and hepatologist and a number of tests (see results at end of post) the only thing was found was evidence of mild fatty liver. Both doctor and specialist believe that the pain could NOT be caused by the fatty liver and is probably muscular in origin.

One other bit of possibly relevant history is that over the last 2-3 months I have been taking 50mg of Voltaren twice a day to treat some neck pain and 1-2 Valarian Forte herbal tablets a few times per week to help me sleep. Also my intake of coffee and alcohol went up slightly. Coffee was 3-4 espresso per day and doctor said my level of alcohol consumption was low. Is it possible that all of these things may have "stressed" my liver and thus cause the pain?

Does the diagnosis of the doctor and specialist sound right? Could my pain be just muscular? Could the mild fatty liver actually be asymptomatic and just something they found because they happened to do the ultrasound? Should I seek a second opinion from another specialist?

Thanks again to all who read and reply.


The summary of my test results are:

Full Abdominal CT Scan - Normal study. No significant abnormality demonstrated.

Full Blood Screen (Not Fasting) - Everything was within what the report considered the normal range. Specific liver results are PROTEIN = 66 | ALBUMIN = 46 | ALP = 56 | GGT = 20 | ALT = 17 | AST = 21 | T-BILI = 23 (My bilirubin count has always been high apparently due to Gilbert's Syndrome). These results are same or better than previous check-up liver function results.

Upper Abdominal Ultrasound - Mild diffuse increased echogenicity of the liver is consistent with a degree of hepatic steatosis. No focal hepatic lesion identified. Normal examination apart from suggestion of hepatic steatosis.

Gastroscopy - Visual inspection shows nothing remarkable. Awaiting results of biopsies for presence of H. Pylori and Celiac Disease.

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