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  3. Liver Pain during Pregnancy: Understand Causes and Solutions

Liver Pain during Pregnancy: Understand Causes and Solutions

Exploring liver pain during pregnancy: causes, symptoms, and management. Prioritize maternal and fetal health with expert medical care.

  • Hepatologyy
By Aliya Anchan 24th Feb '23 19th June '24
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Overview: 

Liver pain during pregnancy may be caused by any condition affecting the liver. The liver is located on the upper right side of the abdomen and plays a crucial role in metabolism, digestion, etc. During pregnancy, the liver may be affected by various conditions that can cause pain. The pain of the liver in pregnancy is rare. But, you need to see your doctor right away if you are pregnant and have liver pain.

Still, Don't worry; let's know the causes, treatments, and more about prenatal liver pain!

Free photo side view of pregnant woman at home having a headache

Where exactly is liver pain felt during pregnancy?

Liver pain during pregnancy is felt in the upper right abdomen, below the rib cage. Most of the time liver pain can often be felt in other parts of the abdomen and could be hard to identify from other types of abdominal pain. If you feel the pain is severe and getting worse day by day, you must consult a doctor. By that time, try to avoid heavy activities like lifting, and engaging in heavy work to avoid further complications. The doctor also advises an anomaly scan to assess the pregnancy thoroughly and determine the presence of any rare conditions, including those of the brain, spine, and heart.

"Liver pain during pregnancy can be concerning, often due to conditions like Intrahepatic Cholestasis or preeclampsia. Regular prenatal check-ups are essential for early detection and management. If you experience persistent upper right abdominal pain or itching, consult your healthcare provider promptly. Early intervention is key to ensuring a healthy pregnancy and safe delivery for both mother and baby." - Dr. Swapna Chekuri, a renowned gynecologist.

Causes of liver pain during pregnancy

Causes of liver pain during pregnancy

Hepatitis

This is a type of liver infection that causes liver damage. Reasons could be viral infections, alcohol abuse, or certain medications.

Cirrhosis

This is the type of liver damage (Cirrhosis) that causes scars, which leads to severe problems like inflammation and impaired function. Reasons could be autoimmune diseases and viral infections.

Liver cancer

This is a rare but severe condition that occurs when cancer cells form in the liver. It can cause liver pain and other symptoms, such as abdominal pain, weight loss, and jaundice.

Hormonal changes

Pregnancy hormones can cause the liver to work harder, which may cause pain.

Gallstones

Pregnancy increases the risk of developing gallstones, which can cause pain in the upper right abdomen.

Preeclampsia

This condition can occur during pregnancy. It can cause pain in the upper right abdomen due to high pressure and protein in the urine.

Other liver conditions

Conditions like fatty liver, autoimmune hepatitis, cholestasis, and biliary cirrhosis can also cause liver pain during pregnancy. 

Some other causes of liver pain could also be muscle strains, gas, constipation, or even a baby's movement.

All of these conditions cause pain and inflammation, as well as other symptoms such as dizziness, abdominal pain, and fainting. 

If not treated properly, it could lead to even liver transplants in severe conditions.

It is better to consult a doctor in the best hospital for better and proper treatment.

If you are pregnant and experiencing liver pain, you need to consult a doctor in the best hospital for better and proper treatment as soon as possible to determine the exact cause and further treatment.

Is pregnancy-related liver pain severe? When should you be concerned?

Pregnancy-related liver pain may be a sign of a serious chronic condition and must be examined by a doctor.

Some possible causes of liver pain during pregnancy are discussed below

  • Liver inflammation
  • Abdominal pain,
  • Dizziness
  • fainting
  • Hyperemesis gravidarum 
  • Gestational diabetes

Pre-eclampsia and hepatitis, on the other hand, can be more serious and need more intensive medical care. If you are experiencing other symptoms such as vomiting, nausea, high blood pressure, protein in the urine, swelling of ankles, or hands. These signs could lead to a serious ailment that needs immediate medical attention. It is also important to follow a healthy lifestyle like eating a balanced diet and avoiding alcohol during pregnancy, for the health of the baby and mother. It is important to remember that every pregnancy is different and that it is always better to be cautious and speak with your doctor if you have any concerns.

Is pregnancy-related liver pain severe? When should you be concerned?

Take charge of your health and your life. Contact us today!

Tips to Prevent Liver Pain During Pregnancy

Eat Healthy: Focus on a diet with lots of fruits, vegetables, whole grains, and lean proteins. Avoid junk food and high-fat meals.

Stay Hydrated: Drink plenty of water every day to help your liver function well.

Exercise Regularly: Engage in safe activities like walking or prenatal yoga to keep your body and liver healthy. Check with your doctor before starting any new exercise.

Avoid Alcohol and Smoking: Both can harm your liver and your baby, so it’s best to steer clear of them during pregnancy.

Check Medications: Only take medications prescribed by your doctor. Some drugs can affect liver health.

Regular Doctor Visits: Keep up with your prenatal appointments to monitor your liver health and catch any issues early.

Manage Stress: Practice relaxation techniques like deep breathing or meditation to reduce stress, which can help your liver.

What are you thinking? Can liver discomfort during pregnancy go away on its own? Let's continue reading to learn more!

Can liver pain heal on its own during pregnancy?

Liver pain can resolve on its own during pregnancy, depending on the cause of the pain.

Conditions like viral infections, liver inflammation, and other diseases can cause liver pain during pregnancy. Some of this may resolve on its own, while some may need severe medications. Sometimes, liver pain may indicate a more serious condition requiring medical treatment. For example, severe complications like liver cancer, cirrhosis, liver tumors, and viral infections like hepatitis A, B, or C require medical care to manage the condition and prevent further liver damage.

Don't stop; scroll down To find out how to cure liver pain while pregnant.

Symptoms of Liver Pain during Pregnancy

  • Upper Right Abdominal Pain: A common sign is pain or discomfort in the upper right side of the abdomen where the liver is located.
  • Nausea and Vomiting: Frequent feelings of nausea or actual vomiting can accompany liver pain.
  • Itching: Persistent itching, especially on the hands and feet, may indicate liver issues like Intrahepatic Cholestasis of Pregnancy (ICP).
  • Jaundice: Yellowing of the skin and eyes is a sign of liver dysfunction and requires immediate attention.
  • Fatigue: Unusual tiredness and weakness can be associated with liver problems during pregnancy.
  • Swelling: Noticeable swelling in the abdomen or legs can be linked to liver complications.
  • Dark Urine: Urine that is darker than usual may signal liver issues.
  • Loss of Appetite: A reduced desire to eat can be a symptom of liver pain.
  • Headaches: Severe headaches, particularly with preeclampsia or HELLP syndrome, can be related to liver issues.
  • Intrahepatic cholestasis of pregnancy (ICP), is also known as obstetric cholestasis. It is a condition that affects the liver during pregnancy.

Treatment options available for Liver Pain during Pregnancy

Treatment options available for Liver Pain during Pregnancy

Antiviral medications - If the cause is a viral infection such as hepatitis A, B, or C. Your doctor may prescribe an antiviral drug to clear the infection and reduce inflammation. 

Pain medications - If the liver pain is severe or persistent, your doctor may prescribe pain medications to help manage the pain. 

Surgery - In some cases, surgery may be necessary to remove a liver tumor or repair damage to the liver if detected.

Other medications - Depending on the cause of the liver pain.

For example, if the reason is liver inflammation, your doctor may prescribe medications to reduce inflammation.

What if it's left untreated? Let’s have a look!

What happens if liver pain during pregnancy is left untreated?

If liver pain during pregnancy is left untreated, it can lead to several serious complications. Conditions like Intrahepatic Cholestasis of Pregnancy (ICP), preeclampsia, or HELLP syndrome can worsen, potentially becoming life-threatening for both the mother and baby. Untreated liver pain may indicate severe liver damage or dysfunction, which could progress to liver failure. This can also increase the risk of preterm birth, affecting the baby's development and overall health. Additionally, ongoing liver issues can cause fetal distress due to impaired oxygen and nutrient supply, leading to growth restrictions or even stillbirth. For the mother, untreated liver conditions pose serious health risks, including severe bleeding, high blood pressure complications, and, in extreme cases, could be fatal. Prompt medical attention is essential to manage liver pain and ensure the well-being of both mother and child during pregnancy.

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Question and Answers

My father suffering from nonalcoholic steatohepatitis

Male | 53

This is a state where the liver gets fat-rich and thus there is inflammation. Symptoms can be tiredness, pain in your abdomen, and jaundice when the skin and eyes go yellow. To help, he will likely have to eat healthy food, exercise, and avoid alcohol. These changes can help his liver to be intact.

Answered on 4th Nov '24

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Sir there is too much urine in jaundice or fatty liver

Male | 18

If your body is getting rid of the excess substances, jaundice or liver disease is likely the reason for the excess urine. Symptoms can be characterized by yellow-colored skin, pain in the stomach, and fatigue. The causes may be infections or dangerous lifestyles like smoking and drinking. To aid the body, hydrate yourself with water and eat a balanced diet. 

Answered on 25th Oct '24

Dr. Gaurav Gupta

Dr. Gaurav Gupta

Answered on 22nd Oct '24

Dr. Gaurav Gupta

Dr. Gaurav Gupta

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