Patient's question:
I have had hepatitis B for over two years and it hasn't improved. It's been very painful, so what does liver area pain indicate in hepatitis B?Doctor's answer:
Hepatic pain is a common symptom in patients with hepatitis B and should be considered for the following possibilities. First, liver tumors, such as liver cancer, should be ruled out. Patients with hepatitis B may experience pain in the liver region and are advised to undergo liver and biliary MRI and alpha-fetoprotein testing to rule out liver tumors. Liver function tests should be performed to determine the severity of the condition. In addition to liver fibrosis, which can be detected through liver elastography, the presence of fibrosis should be confirmed, and symptomatic treatment should be provided. Severe cases may be accompanied by chronic liver disease features, such as spider angiomas, palmar erythema, and splenomegaly. Liver function may be abnormal or persistently abnormal. Hepatitis B refers to individuals with a positive hepatitis B virus test, a course of less than one year, or an unclear onset date, who are clinically diagnosed with chronic hepatitis.