Does pain in the liver area mean that hepatitis is getting worse?

  One afternoon, a young female patient came into the clinic with a worried frown and a lot of doubts: Doctor, I have been having pain in my liver area recently, is hepatitis getting worse? After carefully asking about her medical history and reading her labs, I found that this was a patient with mild chronic hepatitis B. Her liver function was slightly above normal, and she had many symptoms, the most prominent of which was vague pain in the liver area, especially when there was increased activity, constipation, a full meal or touching the liver area. Pain in the liver area is one of the common symptoms in patients with hepatitis. The surface of the liver is wrapped in a translucent membrane called the hepatic pericardium, on which are distributed sensory nerve endings, and the enlargement of the liver due to liver inflammation makes the nerves on the pericardium stimulated or pulled by inflammation, causing pain in the liver area. During the recovery period, pain or discomfort in the liver may also be felt because the enlarged liver retracts and pulls on the nerves in the peritoneum. Pain in the liver area is not equivalent to aggravation of the disease, but may be related to emotional stress and overexertion. As long as you relieve unnecessary worries, pay attention to rest and keep the bowel movement smooth, the pain will be gradually reduced until it disappears. Under the guidance of a doctor, you can also take liver and qi medicine, such as Yi Yao Wan, which can help eliminate or reduce the pain.