Liver Tenderness: Causes & Reasons

Warning: Do not use in emergencies, if pregnant, if under 18, or as a substitute for a doctor’s advice or diagnosis. Learn more

Possible Causes for Liver Tenderness

Drug-Induced Toxic Hepatitis

Later, there may be jaundice and dark urine and an enlarged and tender liver. When the offending medication is withdrawn, symptoms may gradually subside. [hepatitiscentral.com]

Your provider will do a physical exam to check for an enlarged liver and abdominal tenderness in the right upper part of the belly area. [medlineplus.gov]

[…] urine Diarrhea Fatigue Fever Headache Jaundice Loss of appetite Nausea and vomiting Rash White or clay-colored stools Exams and Tests You will have blood tests to check liver [m.ufhealth.org]

Amebic Hepatitis

Fever, pain and tenderness-the cardinal features of an amoebic liver abscess, are often absent. [bhj.org.in]

[…] of amebic dysentery. amebic hepatitis A syndrome marked by a tender, enlarged liver; pain over the liver; fever; and leukocytosis in a patient with amebic colitis. [medical-dictionary.thefreedictionary.com]

It is characterized by an enlarged, tender liver, with pain in the upper right hypochondrium. [atlas.or.kr]

Amebic Liver Abscess

tenderness, liver span, TLC, and ALT on days 8 and 15 in Groups 1 and 2. [tropicalgastro.com]

RESULTS: (i) Mean body temperature, liver tenderness, total leukocyte count (TLC), serum alanine aminotransferase (ALT) and liver span were significantly decreased in the [ncbi.nlm.nih.gov]

Reliable findings in hepatic abscess include fever, abdominal pain, respiratory distress, tender abdomen, and large, tender liver. [ncbi.nlm.nih.gov]

Alcoholic Liver Disease

Symptoms may include fever, jaundice, an increased white blood cell count, an enlarged, tender liver, and spider-like veins in the skin. [livertransplantindia.com]

The person's white blood count becomes elevated and their liver is both tender and enlarged. [disabled-world.com]

The white blood count is elevated, and the liver is enlarged and tender. alcoholic cirrhosis Alcoholic cirrhosis is the destruction of normal liver tissue, leaving non-functioning [piedmont.org]

Liver Hematoma

3 Reply lymphangiocystic tumor 0 Reply Is the liver tender? [dailyrounds.org]

He or she will also check to see if the liver is tender or swollen. [summitmedicalgroup.com]

Abdominal examination presented tenderness, guarding and rebound in all quadrants. [scopemed.org]

Passive Congestion of the Liver

However, moderate congestion causes right upper quadrant discomfort (due to stretching of the liver capsule) and tender hepatomegaly. [merckmanuals.com]

On palpation, the liver is found enlarged and tender, sometimes extending several inches below the costal margin of the ribs. [en.wikipedia.org]

Pathophysiology [ edit ] CT appearance of liver in congestive hepatopathy, sometimes referred to as a nutmeg liver. [en.wikipedia.org]

Alcoholic Hepatitis

Typically, the liver is enlarged and tender. [ncra.org]

Rapidly progressing jaundice and coagulopathy in prolonged excessive alcohol abusers with or without fever, malnutrition, and tender liver are the clinical hallmarks. [ncbi.nlm.nih.gov]

Other symptoms include: Heavy fluid retention Confusion Liver and Kidney failure Tender abdominal region Weight loss Vomiting Nausea Treatment for Alcoholic Hepatitis Treatment [alcoholmastery.com]

Liver Abscess

Physical examination: Fever (low-grade or high spiking) Hepatomegaly and liver tenderness, which is accentuated by movement or percussion. [enotes.tripod.com]

CASE PRESENTATION: We report a case of a 63-year-old male with a history of anorexia for 3 weeks, fever for 4 days and examination findings of tender hepatomegaly with a liver [ncbi.nlm.nih.gov]

enlarged liver. 5. 6. [slideshare.net]

Non-viral Hepatic Infection

The liver is enlarged and tender. Liver damage causes increased blood levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), and bilirubin. [atsu.edu]

With viral infection, the liver becomes inflamed and usually becomes tender and swollen. Patches of liver tissue may be destroyed. [hepatitiscentral.com]

The liver may be enlarged and tender. Symptoms of cholestasis (a reduction or stoppage of bile flow)—such as pale stools and overall itchiness—may develop. [merckmanuals.com]

Fitz-Hugh-Curtis Syndrome

Fitz-Hugh-Curtis syndrome or gonococcal perihepatitis presents as acute abdominal pain with liver tenderness on palpation and elevated liver function tests. [clinicaladvisor.com]

There is usually also tenderness on palpation of the right upper abdomen and tenderness to percussion of the lower ribs which protect the liver. [en.wikipedia.org]

The infection tracts up the paracolic gutter to involve the liver capsule forming fibrinous adhesions. [adhesions.org]

Toxic Hepatitis

Later, there may be jaundice and dark urine and an enlarged and tender liver. When the offending medication is withdrawn, symptoms may gradually subside. [hepatitiscentral.com]

A physical exam can help determine the size of the liver and any associated tenderness. A blood test can assess how well the liver is functioning. [winchesterhospital.org]

Your provider will do a physical exam to check for an enlarged liver and abdominal tenderness in the right upper part of the belly area. [medlineplus.gov]

Budd-Chiari Syndrome

Some of the symptoms are the same as those of gradually developing blockages: fatigue, an enlarged and tender liver, and abdominal pain in the upper abdomen. [merck.com]

The enlarged liver becomes tender, and people have abdominal pain. Fluid may accumulate in the legs, causing swelling (edema), or in the abdomen, causing ascites. [merck.com]

Chronic Right-Sided Congestive Heart Failure

Physical exam may reveal distended veins in the neck, enlarged and tender liver, swelling of lower extremities (edema), and abdominal swelling and discomfort due to fluid [nmihi.com]

Resulting clinical syndromes including shortness of breath, pitting edema, enlarged tender liver, and pulmonary rales in various combinations. heart failure (härt´ fālyur) [medical-dictionary.thefreedictionary.com]

Signs and symptoms include shortness of breath, pitting edema, enlarged tender liver, engorged neck veins, and pulmonary rales. [icd10data.com]

Hepatic Vein Occlusion

This is because the liver is not drained since the vessels leading back to the heart are obstructed. For this reason, the liver swells and becomes tender to touch. [buddchiarisyndrome.org]

The liver enlarges and becomes tender. The abdomen may swell because of fluid accumulating there. [merckmanuals.com]

The syndrome may present in an acute form with upper abdominal pain, abdominal swelling, ascites and tender hepatomegaly or in a chronic form, mimicking cirrhotic ascites. [ncbi.nlm.nih.gov]

Choledocholithiasis

The abdomen is tender, and often the liver is tender and enlarged (often containing abscesses). [merckmanuals.com]

The abdomen is tender, and often the liver is tender and enlarged (possibly containing abscesses). [msdmanuals.com]

Ascending Cholangitis

The abdomen is tender, and often the liver is tender and enlarged (often containing abscesses). [merckmanuals.com]

The abdomen is tender in the right upper quadrant. Liver function test (LFTs) reveal elevated direct and total bilirubin and alkaline phosphatase of 500 U/L. [medbullets.com]

Dubin-Johnson Syndrome

Some individuals may have liver enlargement, liver tenderness, weakness, nausea or vomiting Normally, bilirubin (a yellow chemical) is the main breakdown product of older [dovemed.com]

At times there can be jaundice, a yellowish color of the white portion of the eyes, and rarely a slightly enlarged and tender liver. [rarediseases.org]

Enlargement of the liver and or spleen Tender liver (pain in the right upper abdomen) Weakness, fatigue Nausea, vomiting How is Dubin-Johnson Syndrome Diagnosed? [dovemed.com]

Liver Injury

He or she will also check to see if the liver is tender or swollen. [summitmedicalgroup.com]

Liver injuries are characterized in several key ways: People have tenderness and pain in the abdomen that sometimes radiates to the shoulder. [msdmanuals.com]

A common symptom is pain and tenderness when the area around the liver is touched—that is, the upper right section of the belly, including under the right ribs. [summitmedicalgroup.com]

Viral Hepatitis

Viral hepatitis is an infection by a virus that primarily affects the liver. The liver is inflamed and becomes tender and swollen. [hepatitiscentral.com]

Physical exam Assessment of the patient may yield remarkable findings such as jaundice, scleral icterus, and an enlarged and tender liver. [symptoma.com]

The liver may be enlarged and tender. Symptoms of cholestasis (a reduction or stoppage of bile flow)—such as pale stools and overall itchiness—may develop. [merckmanuals.com]

Pyogenic Liver Abscess

Fever Lethargy Discomfort in right upper quadrant of abdomen Anorexia Enlarged and tender liver Pleural effusion Fever Abdominal discomfort Enlarged liver Biliary disease [en.wikipedia.org]

Patients with liver abscess usually present with right upper quadrant pain or tenderness and signs of sepsis. [annals.org]

Right upper quadrant pain and tender hepatomegaly are specific features of a liver abscess but are often absent. [amboss.com]

Metastatic Liver Carcinoma

Presentation [ edit ] Hepatomegaly - with a nodular free edge of liver Tenderness Cachexic Ascites Jaundice Pyrexia - up to 10% of patients Alkaline Phosphatase ( ALP ) and [en.wikipedia.org]

If the hepatic metastatic burden is large then the presentation or symptoms related to the liver disease may include: localized pain and tenderness due to capsular stretching [radiopaedia.org]

The liver may be enlarged, hard, or tender; massive hepatomegaly with easily palpable nodules signifies advanced disease. [msdmanuals.com]

Cor Pulmonale

liver, dependent edema, and ascites. [accessmedicine.mhmedical.com]

liver, and dependent edema. [health.am]

Physical exam may reveal distended veins in the neck, enlarged and tender liver, swelling of lower extremities (edema), and abdominal swelling and discomfort due to fluid [nmihi.com]

Liver Cirrhosis

He'll also examine you to check if your liver is tender or larger than it should be. Tests. If your doctor suspects cirrhosis, he will do a blood test. [webmd.com]

He had abdominal tenderness but no rebounding pain. Moreover, his dullness was felt over the liver and the spleen was palpable 8 cm below the ribs. [ncbi.nlm.nih.gov]

In the early stage of any liver disease, your liver may become inflamed. It may become tender and enlarged. [liverfoundation.org]

Hepatocellular Carcinoma

[…] result in chronic inflammation of the liver. [medicinenet.com]

The liver was enlarged, hard, and tender with irregular margins. There was evidence of ascites and splenomegaly. [cureus.com]

Symptoms include abdominal pain or tenderness, jaundice, enlarged abdomen, and easy bruising or bleeding. [medicinenet.com]

Bacterial Hepatitis

You will have a physical exam to look for: Enlarged and tender liver Fluid in the abdomen (ascites) Yellowing of the skin You may have lab tests to diagnose and monitor your [medlineplus.gov]

During a physical examination, your doctor may press down gently on your abdomen to see if there’s pain or tenderness. [healthline.com]

You can still develop liver failure later. If you have any risk factors for either type of hepatitis, you should be tested often. [medlineplus.gov]

Heart Failure

Resulting clinical syndromes including shortness of breath, pitting edema, enlarged tender liver, engorged neck veins, and pulmonary rales in various combinations Complication [icd9data.com]

Signs and symptoms include shortness of breath, pitting edema, enlarged tender liver, engorged neck veins, and pulmonary rales. [icd10data.com]

Hepatitis A

Hepatitis A is a viral infection of the liver. The liver becomes inflamed, tender, and swollen. How does it occur? Hepatitis A is caused by the hepatitis A virus. [web.archive.org]

The liver is enlarged and tender. Liver damage causes increased blood levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), and bilirubin. [atsu.edu]

For instance, he might find that you have: A swollen liver and spleen Tenderness in the right upper side of your belly Does Hepatitis A Always Cause Symptoms? [webmd.com]

Congestive Heart Failure

Resulting clinical syndromes including shortness of breath, pitting edema, enlarged tender liver, engorged neck veins, and pulmonary rales in various combinations. congestive [medical-dictionary.thefreedictionary.com]

Resulting clinical syndromes including shortness of breath, pitting edema, enlarged tender liver, engorged neck veins, and pulmonary rales in various combinations Complication [icd9data.com]

Backup of blood and fluid into the lungs Abdominal bloating Abdominal bloating can result from fluid backup in your: Liver, which makes your abdomen feel swollen or tender [northshore.org]

Isoniazid Hepatitis

Later, overt evidence of liver damage, such as jaundice, dark urine and an enlarged and tender liver, may develop. [patient.info]

Pulmonary Edema

[…] is enlarged and may be tender or even pulsatile. [en.wikipedia.org]

[…] the legs, in general, of the "pitting" variety, wherein the skin is slow to return to normal when pressed upon), raised jugular venous pressure and hepatomegaly, where the liver [en.wikipedia.org]