What causes abdominal pain when suffering from nonalcoholic steatohepatitis?
Patient: I have nonalcoholic steatohepatitis. and the past year I have gotten worse I have constant pain in my upper abdomen and lots of pain in my right shoulder blade that is so bad that some days I cant take a deep breat without screaming in pain, I have also lost around 130 pounds this year from being nausea and from vomiting. Im always tired, should I be checked for liver cancer. no drs in my area want to listen to me about these symptoms. I do have diabetes,high blood pressure,high cholesterol. my age is 35 and my weight is 265 Doctor: Hi.Thanks for your query and an elucidate history.You have got a complex of symptoms which are related to each other.Non-Alcoholic Steatosis, constant pain in the upper abdomen and the right shoulder, making it difficult to breath, loosing weight due to nausea and vomiting, fear of liver cancer- known diabetes, high blood pressure, high cholesterol at the young age of 35 and at the weight of 265 lbs.The most probable cause of your pain in the upper abdomen and the right shoulder can be related to the problem in the lung or the pleura as it is making you difficult to breath.  I would advise you the following;CT scan of the chest.CT scan of the abdomen related tests of blood, urine and stool. This will give the final diagnosis and a plan for further treatment .