Ask a doctor on the topic of Internal medicine

Problems with the liver?

July 18, 2014 | 30,00 EUR | answered by Dr. med. Frauke Gehring

For weeks I have been feeling a slight pulling and pressure sensation on the right lower rib cage, in the area of the liver so to speak. I am afraid that this pressure sensation is coming from the liver. I have a fatty liver, that is known. I am overweight.

Two weeks ago I had my liver values checked, which were all normal. (GOT/ASAT 26, GPT/ALAT 43, GGT, Gamma GT 39). Furthermore, I have been tested for Hepatitis, HepB and HepC, and the values are negative. (Only my HepB from 25 years ago can be seen in the blood).

I also had an ultrasound of my liver done. I must say that the doctor did it very quickly, he was done with the ultrasound in 2 minutes. He also did not find anything.

I always feel tired and sometimes weak. It could of course also be due to the weather.

Should I be worried? Are these examinations sufficient? Are there any other examinations I should do, like an MRI?

I also have cervical spine issues.

Thank you very much.

Dr. med. Frauke Gehring

Good morning,

A skilled doctor can quickly assess the liver and rule out a gallstone. Therefore, ultrasound and all the values examined are sufficient. An MRI does not provide any significant additional information here, and you have no reason to worry. We are all feeling sluggish in this weather, and your blood tests were fine.

Support your liver with a low-calorie diet, make sure to move enough in the evening, and if the symptoms persist, consider having your spine examined. It could also be the cause.

Take care!

Warm regards,
Dr. Höllering