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What are symptoms of Liver Cancer?

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My husband was diagnosed with diabetes 8 years ago. Has been on medication since and recently (1 week ago ) switched to a different medication. Is now saying he feels a fluttering sensation on his right side (liver maybe)? He was also diagnosed with Hepatitis C 4yrs ago (stage 3 liver disease). Refuses treatment advised by specialist. He continues to consume too much alcohol on a weekly basis (every weekend). Could it be the new medication for his diabetes, or is his liver crying for help due to the alcohol? Two weeks ago he also mentioned to his doctor about an upper left abdominal pain. He was sent for an ultrasound, and the results were an enlarged spleen. Doctor has recommened an appointment with oncology. Wild guess here...I'm guessing it's all in connection with Hepatitis. Won't know for sure till next weeks appointment.
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replied February 28th, 2017

In the determination of any liver conditions, just elevated enzyme are not significant. Presence of other signs , symptoms, other lab parameters and radiological investigations are necessary to make a proper diagnosis.

The first sign of liver disease, that is Jaundice (Yellowish discoloration of the sclera of the eyes) due to accumulation of bilirubin, occurs with bilirubin range of 2-3 mg/dL (34 to 51 μmol/L). Skin discoloration occurs at much higher levels.

Some general symptoms of liver disease include nausea, vomiting, decreased appetite, ‎indigestion, change in stools, jaundice, itching, etc. ‎In severe conditions with greater liver dysfunction abdominal distension, swelling of the legs, ‎anorexia, lethargy could be evident. ‎

In case you have the above signs and symptoms, then additional tests including Urinalysis for bilirubinuria, Serum albumin, liver enzymes (ALT, AST, ALP, LDH), as well as a liver ultrasound - will be needed to evaluate the level of liver damage.

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