Hello,
First of all I shall list out your symptoms as follows:
1) Swollen and tender upper right quadrant of abdomen
2) Itching all over chest and abdomen
3) Weight gain and ankle swelling
The following are few probable causes of your symptoms:
1)
Liver diseases like
cirrhosis of liver
2) Heart congestive failure
3) Hepatorenal syndrome
For those who come to my clinic with the similar symptoms, I would advise the following:
1) Thorough clinical physical examination including palpation of abdomen, pelvis and chest
2) Liver function tests
3) Testing of the fluid if present in abdomen (ascitic tap)
4) ECG, 2D echocardiography
5) Complete blood picture
If the above tests are inconclusive,
ultrasound examination of abdomen and pelvis would be necessary. One more important thing is anti inflammatory drugs show adverse effects more on kidneys than liver. But in long term, they will have effects on liver too. So, please do
consult a general surgeon or a gastroenterologist for precise diagnosis and appropriate treatment.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist