Hepatitis C
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Articles by
Dr. Zhang
TCM and MCM Theory Related to Common Liver Disease Blood Test Markers

Low Dose Interferon Patient Experiment

Hepatitis A Prevention Reminder

Hepatitis: Causes of Pain in Liver Region 

The Need to Monitor Your Chronic Hepatitis

Liver Enzyme Fluctuation during Allergy Season 

What are the Serum Markers of Hepatitis B and What do They Mean?

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 2

Enterogenous Endotoxemia in Chronic Hepatitis–
Part 1

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy -
Part 2

Chronic Hepatitis and "Blood Activating and Stasis Expelling" (BASE) Therapy
Part 1

What Causes Gastrointestinal Bleeding in Cirrhotic Liver Disease

Dietary Support for Cirrhotic Liver Diseases

Ascites - A Complication of De-Compensated Liver Cirrhosis

Liver Cirrhosis - Portal Vein Hypertension Complications

Liver Cirrhosis Overview

PG-IFN and Ribavirin Treatments

Antibiotics and Chronic Liver Diseases

Why is Alcohol Harmful for People with Hepatitis?

Co-infections and Super-infections of Viral Hepatitis

Beware of Medications That Can Cause Liver Damage

Bile Retention and Its Clinical Manifestations (MCM) part 4

Modern Chinese Medicine (MCM) Part 3 
Jaundice and Chronic Viral Hepatitis

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 2

Modern Chinese Medicine (MCM) Anti-Liver-Fibrosis Treatments - Part 1

What is Liver Fibrosis and How is It Different from Cirrhosis?

How does the liver change as we get older?

How is that my LFTs are so good when my viral load is seemly so high?

Comprehensive Care for Chronic Viral Hepatitis

What can Cause Liver Inflammation?  

What Are the Major Functions that the Liver Carries?


Hepatitis: Causes of Pain in Liver Region 

Liver area-pain or discomfort usually refers to the pain in the upper right quadrant of the stomach. This pain also sometimes occurs in the right upper back and scapular area. The nature of the pain is usually a dull sensation combined with a subtle discomfort, which makes the patient actually become aware of the existence of the liver organ. 

This is a common symptom of chronic hepatitis, especially if there are problems in the gall bladder, such as gallstones or inflammation. The liver parenchyma itself has no sensation, but the liver membrane, which forms a capsule covering the actual liver, is sensitive. When the liver becomes inflamed, conditions such as blood congestion, cell swelling (liver), increased secretion and retention of bile, and liver cell necrosis all increase the pressure to the liver membrane. This in turn causes the dull pain or discomfort in the liver area. During palpation, this area will also feel tender. 

The gallbladder is actually the more frequent the cause of this symptom since anatomically, gallbladder is literally "buried" in the lower surface of the liver. The gallbladder is sensitive to inflammation, pressure, and chemical stimulation, and can cause cramping, burning, and pricking pain. Since about 50% of chronic hepatitis patients have gallbladder problems, pain that originates in the gallbladder are often mistaken as liver pain. In order to find out whether the problem is in the gallbladder, an ultrasound examination may be necessary. If inflammation or small gallstones (less than 2 cm in diameter) are causing the gall bladder pain, herbal treatment can control the inflammation, expel the stones, and release the pain. If the gallstones are large, then surgery may be needed to remove the stone(s) or the entire gall bladder. This pain is usually more obvious during acute episodes of chronic hepatitis. 

Once the inflammation activities have been brought under controlled, the pain in the area should be reduced dramatically or be completely eliminated. However, sometimes sensations of pain will continue to exist even when the causes in the liver or gallbladder are controlled. Pain triggers in the brain may cause this phenomenon after a case of long-term chronic pain. 




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About HCV
Causes and Transmission

Diagnostic Tests
Viral Load

Viral Genotyping

Major Signs
Liver Inflammation

Peripheral Signs and Symptoms
Bile Retention
Joint Pains and Skin Rashes
Blood Sugar Instability
Portal Vein Hypertension

Important Liver Function Test Markers
PT (Prothrombin Time)
Liver Biopsy
Inflammation Grade
Fibrosis Stage
Interferon Based Treatment
Ideal Candidate
Possible Side-effects
Liver Support with TCM
Liver Enzymes
Serum Albumin
Blood Clotting Factors
Bile metabolism
Dietary Considerations
Essential Fats




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