Scar Tissue Discomfort

I am post liver transplant, I had my transplant 25 years ago (1984).  I have been having pain right under my scar.  I have seen the doctor and my liver looks good.  They have done an ultra sound and such and everything looks good.  My primary care doctor thinks that it is my scar tissue.  My scar is very different from the scars that are being done now a days.  I am also a lot bigger than I use to be, so I am thinking that my weight gain is causing scar tissue issues.  I am wanting to know who can help me fix my scar tissue issue, what type of doctor do I go see.  I feel like that I am not getting anywhere with my liver doctors so I am needing some assistance please.  Thanks!

[Thomas D Schiano, MD]

first of all congratulations on your transplant.  i think your pain may in fact be from the scar and the weight gain..  if there is no abnormality with the liver, a surgical revision becomes an option.  With the added weight on board a hernia becomes a distinct possibility. the best people to do this are the transplant surgeons at your center.  if they don't want to do it a general surgeon may be a possibility but it must be done with the blesing of the transplant team