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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Liver Pain Affect My Back And Cause Back Pain?

Hi, I have cirrhosis of the liver . Fatty Liver and progressed to NASH then onto cirrhosis. I have diabetes that has been controlled for 1 year now. I have a ultrasound every year and the results have been pretty much the same until now . My Dr. has asked me to come in and discuss the findings this time. It looks like it has progressed. I have a copy that was sent to me and I have a question about what this statement might mean . The liver measured 17.7 cm in length (previously 15.8cm) with a coarsely heterogenesous echotexture. The liver edge is again noted to be lobulated in appearance consistent with cirrhosis. the spleen measured 11.1 cm in length (previously 12.3cm ). I am have terrible back pain below my rib cage. Can this really be liver pain that is radiating to my back ?
Mon, 13 Apr 2015
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Pain Medicine & Palliative Care Specialist 's  Response
hi

with these finding in the ultrasound abdomen added in the back pain ,it is better to go for a CT abdomen & pelvis.

followed by MRI spine (TOTAL OR THORACO LUMBAR)
so that any serious issues should not be missed.

coarse heterogenous liver with cirrhosis- it is better to rule out any malignancy relative stages or any secondaries which could have spread to the spine or vicaversa.

CONFIRMING THE CAUSE IS BETTER.
all the best, take care
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Can Liver Pain Affect My Back And Cause Back Pain?

hi with these finding in the ultrasound abdomen added in the back pain ,it is better to go for a CT abdomen & pelvis. followed by MRI spine (TOTAL OR THORACO LUMBAR) so that any serious issues should not be missed. coarse heterogenous liver with cirrhosis- it is better to rule out any malignancy relative stages or any secondaries which could have spread to the spine or vicaversa. CONFIRMING THE CAUSE IS BETTER. all the best, take care