An enlarged spleen typically causes no signs or symptoms, but sometimes it causes: Pain or fullness in the left upper belly that can spread to the left shoulder. A feeling of fullness without eating or after eating a small amount because the spleen is pressing on your stomach. Low red blood cells (anemia)
Spleen pain is usually felt as a pain behind your left ribs. It may be tender when you touch the area. This can be a sign of a damaged, ruptured or enlarged spleen.
You likely won't notice an enlarged liver on your own. In some severe cases, you might notice a feeling of bloating or fullness in your belly, or an ache in your upper right abdomen, where your liver is. It's more likely your healthcare provider will discover it during an exam.
Pain in your liver itself can feel like a dull throbbing pain or a stabbing sensation in your right upper abdomen just under your ribs. General abdominal pain and discomfort can also be related to swelling from fluid retention and enlargement of your spleen and liver caused by cirrhosis.
Gallbladder and liver pain can feel similar. Both organs are in the upper-right quadrant of the abdomen. However, some key differences can help differentiate between the two conditions. Gallbladder pain typically occurs in the right upper quadrant of the abdomen and may radiate to the right shoulder or back.
It cannot be felt with the fingertips below the edge of the ribs, except when you take a deep breath. It may be enlarged if a health care provider can feel it in this area.
Hepatomegaly is enlargement of the liver beyond its normal size. Certain conditions such as infection, parasites, tumors, anemias, toxic states, storage diseases, heart failure, congenital heart disease, and metabolic disturbances may all cause an enlarged liver.
In most cases, fatty liver disease doesn't cause any serious problems or prevent your liver from functioning normally. But for 7% to 30% of people with the condition, fatty liver disease gets worse over time. It progresses through three stages: Your liver becomes inflamed (swollen), which damages its tissue.
An enlarged spleen is usually detected during a physical exam. Your doctor can often feel it by gently examining your left upper belly. However, in some people — especially those who are slender — a healthy, normal-sized spleen can sometimes be felt during an exam.
Hepatosplenomegaly refers to swelling and enlargement of the liver and spleen, in the upper abdomen. It can result from an infection, an injury, some types of anemia, and various other health factors.
An enlarged spleen does not always cause symptoms. Otherwise, look out for: feeling full very quickly after eating (an enlarged spleen can press on the stomach) feeling discomfort or pain behind your left ribs.
Among other findings, this study confirmed that spleen size is increased in NAFLD [40]. In a further study, NAFLD patients showed a relatively high prevalence of spleen enlargement (splenomegaly,) which was significantly associated with a reduced lysosomal acid lipase (LAL) activity [41].
However, as your liver loses its ability to function properly, you're likely to experience a loss of appetite, nausea and itchy skin. In the later stages, symptoms can include jaundice, vomiting blood, dark, tarry-looking stools, and a build-up of fluid in the legs (oedema) and abdomen (ascites).
Symptoms of NAFLD
a dull or aching pain in the top right of the tummy (over the lower right side of the ribs) fatigue (extreme tiredness) unexplained weight loss.
Ascites can also develop when the liver isn't making enough blood protein (albumin). A swollen abdomen might cause discomfort or pain, and a loss of appetite or feeling full quickly. A swollen (enlarged) liver can cause pain in your right shoulder.
You should try to palpate liver by superficial palpation and not deep palpation. Liver edge is just hugging anterior abdominal wall. With superficial palpation, let the liver edge come and touch your fingers with deep breathing rather than you going after liver.
passing black, tarry poo and vomiting blood as a result of internal bleeding. a tendency to bleed and bruise more easily, such as frequent nosebleeds and bleeding gums. increased sensitivity to alcohol and drugs because the liver cannot process them.
Pain in the Upper Right Abdomen
So what does liver pain feel like? It manifests in different ways, but a common form is a dull throbbing. For some people, it occurs as a sharp, stabbing pain. Sometimes the pain migrates to other nearby areas, such as the right shoulder blade and the back.
Stage 3: Cirrhosis
During this stage of disease, symptoms become more noticeable: pain and discomfort, fatigue, appetite loss, fluid retention, jaundice, and an itchy feeling around the liver.