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Upper-right quadrant pain
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Upper-right quadrant pain

I am 26. Several years ago I used to get a pain once in a while in my liver area. It would come and go and I never went to the doctor for it. I have been obese for many years. When I finally went to the doctor for other reasons about a year and a half ago, my ALT was 22.

Over the past year and a half I have regained 30-40 lbs. that I had previously lost. 4 months ago, when I went to the doctor, my ALT was 48.  My doctor said I probably had fatty liver and sent me home with 10mg Lipitor. I have been taking the Lipitor and trying to lose weight in the meantime. About one month ago, I began to feel the same occasional dull pain in my upper-right abdomen that I had felt years ago. If it happens now, it only seems to come for a little bit or sometimes if I eat fatty food. Once or twice, it kept coming off and on the whole day. Whenever I get this pain, I get kind of nauseated, not like I want to throw up, but just like I couldn't possibly want to eat anything.

I am now scared that I have NASH. My doctor did not seem too concerned about my ALT of 48, but I didn't have any liver pain then and now I do. Could this be NASH? I am scared that when I go to the doctor, my ALT will be even higher now that I have pain. I also don't understand why, even having experienced the same liver pain several years ago, my ALT was still 22 until 4 months ago...
Avatar dr f tn
Hello,
It may be difficult to determine the exact cause of your symptoms without a complete clinical examination and work up. It is possible that you have NASH but can be confirmed only after an evaluation. There is fat in the liver, along with inflammation and damage. Only if this disease advances a person can develop cirrhosis .The process can stop and, in some cases, reverse on its own without specific therapy. Pain in upper quadrant, nausea can also be a feature of acute cholecystitis.You should see a doctor and get your tests like liver function tests and ultrasound abdomen done. The management of your condition depends on test results. I sincerely hope it helps.
Best luck and regards!
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