What is the reason for the throbbing in the liver area

Sometimes people may feel a throbbing in their liver area, but it will get better after a period of rest. This may cause many people to not take this situation seriously. In fact, this is just a medical condition, not a disease. This may be a phenomenon caused by a very difficult to cure disease. Therefore, it is necessary to check it as soon as possible after it happens, so that the right medicine can be prescribed according to the symptoms.

Causes and common diseases

The liver itself does not have pain nerves, but there is a layer of liver capsule on the outside of the liver. When liver cells become inflamed and swollen, it will cause liver enlargement; or when the liver is subjected to pressure, temperature or chemical stimulation, impulses can be formed and transmitted to the brain, causing pain, tenderness, or even colic or a tingling or burning sensation. The nerves on the liver capsule are connected to the phrenic nerves and are innervated by the spinal sensory nerves. The cause of liver pain is determined based on the patient's age, symptoms, medical history, epidemiological data, physical signs, and necessary auxiliary examinations. It is most common in the following lesions:

1. Chest wall lesions

Such as local muscle injury of the right hypochondrium, rib fracture, chest wall contusion, osteomyelitis, herpes zoster, intercostal neuritis, intercostal muscle injury, epidemic chest pain, chest wall tuberculosis, etc.

2. Pleural and lung tissue lesions

Such as right-sided tuberculous pleurisy, pneumothorax, empyema, hemothorax, pneumonia, bronchial lung cancer, pulmonary embolism, etc.

3. Hepatobiliary system diseases

Such as viral hepatitis, toxic hepatitis, cirrhosis caused by various reasons, liver abscess, amoebic liver disease, liver cancer, cholelithiasis, biliary infection, bile duct cancer, etc.

4. Others

Such as subphrenic abscess, right kidney tumor, epidemic liver pain caused by recent enterovirus infection and pancreatic head cancer; discomfort, pain and pain in the liver caused by lesions of organs near the liver; fixed writing posture can cause compression of the intercostal muscles and produce local pain; discomfort and pain in the liver caused by emotional problems: such as anger, shortness of breath, etc.

Differential Diagnosis

1. Biliary tract disease

Including cholelithiasis, cholecystitis, etc. Due to its anatomical position close to the liver, it often manifests as "pain in the liver area". However, the pain is usually fixed and localized, presenting as dull pain or colic, and B-ultrasound can usually provide a clear diagnosis.

2. Hepatic flexure syndrome

Also known as liver syndrome. It is "pain in the liver area" caused by gas accumulation in the hepatic flexure of the colon. This type of syndrome is often accompanied by a history of "diarrhea" or mood swings. In addition to the feeling of pain, it is often accompanied by bloating and belching. If X-ray examination shows obvious gas accumulation in the hepatic flexure of the colon when the pain occurs, it can be diagnosed.