Re: Why Antioxidants are Important for Hepatitis C ...

[Guest guest]

Debbie, you are doing amazingly well! For someone who is ESLD and is still working full time, I find you incredible. And without the support of a husband or partner. How on earth do you do it? You go girl.

And I am so glad that the supplements are helping you as well! They can make a world of difference.

You will have to keep us updated about your visit with Dr. Berkson next month too. We have all heard and read about him but I don't believe anyone in this group has ever been to see him. He's almost like an "urban legend" to me, lol.

Take care of yourself and your baby, Cody - sounds like you are doing a wonderful job!

Chris

I am also taking supplements following I guess the Berkson protocol although I have not read exactly mg. to mg. what that is. I also would much rather get all my nutrition, nutrients from fresh food. I need to do more research on what I'd need to eat so will add that to my list. It is difficult to get organic fresh food all year and have the time to shop, store and prepare. Have a hard enough time making it home in the evenings and to bed.New MapQuest Local shows what's happening at your destination. Dining, Movies, Events, News more. Try it out!

[Guest guest]

Yes, Debbie,

I second everything said. You are doing an amazing job. I

just read on Australiahepc post that the ALA that Berkson uses with

low dose naltroxen added has cured liver cancer.

My heart goes with you on your visit to Berkson.

Hope when you get even better that you find that piece of land you

dream of.

My love is with you, SuziQ

>

> Debbie, you are doing amazingly well! For someone who is ESLD and

is still

> working full time, I find you incredible. And without the support

of a

> husband or partner. How on earth do you do it? You go girl.

>

> And I am so glad that the supplements are helping you as well!

They can

> make a world of difference.

>

> You will have to keep us updated about your visit with Dr. Berkson

next

> month too. We have all heard and read about him but I don't

believe anyone in

> this group has ever been to see him. He's almost like an " urban

legend " to me,

> lol.

>

> Take care of yourself and your baby, Cody - sounds like you are

doing a

> wonderful job!

>

> Chris

>

>

>

> In a message dated 10/17/2008 12:55:35 P.M. Central Daylight Time,

> debbiel@... writes:

>

> I am also taking supplements following I guess the Berkson

protocol

> although I have not read exactly mg. to mg. what that is. I also

> would much rather get all my nutrition, nutrients from fresh food.

I

> need to do more research on what I'd need to eat so will add that

to

> my list. It is difficult to get organic fresh food all year and

have

> the time to shop, store and prepare. Have a hard enough time

making

> it home in the evenings and to bed.

>

> **************New MapQuest Local shows what's happening at your

destination.

> Dining, Movies, Events, News & more. Try it out

> (http://local.mapquest.com/?ncid=emlcntnew00000002)

>

[Guest guest]

I too am very very interested in this Dr. Berkson and am so glad you are going to see him.AND I am still awaiting that promised picture of Cody. This is my Corey waiting for trick or treaters last Halloween. Guess who he was dressed up as and yes that's all his hair Please forgive my dim wittedness (is that a word???) I find it absolutely incredible that you can work full time! I move like a snail and lose my balance allot! I 3rd it your incredible!!!!!

http://a288.acimages.myspacecdn.com/images01/30/l_6368e7cba1e980217e89a102ba60fc9f

Subject: Re: Why Antioxidants are Important for Hepatitis C ...To: Hepatitis_C_Central Date: Friday, October 17, 2008, 4:53 PM

Yes, Debbie,I second everything said. You are doing an amazing job. I just read on Australiahepc post that the ALA that Berkson uses with low dose naltroxen added has cured liver cancer. My heart goes with you on your visit to Berkson. Hope when you get even better that you find that piece of land you dream of.My love is with you, SuziQ>> Debbie, you are doing amazingly well! For someone who is ESLD and is still > working full time, I find you incredible. And without the support of a > husband or partner. How on earth do you do it? You go girl.> > And I am so glad that the supplements are helping you as well! They can > make a world of difference.> > You will have to keep

us updated about your visit with Dr. Berkson next > month too. We have all heard and read about him but I don't believe anyone in > this group has ever been to see him. He's almost like an "urban legend" to me, > lol.> > Take care of yourself and your baby, Cody - sounds like you are doing a > wonderful job!> > Chris> > > > > > I am also taking supplements following I guess the Berkson protocol > although I have not read exactly mg. to mg. what that is. I also > would much rather get all my nutrition, nutrients from fresh food. I > need to do more research on what I'd need to eat so will add that to > my list. It is difficult to get organic fresh food all year and have > the time to shop, store and

prepare. Have a hard enough time making > it home in the evenings and to bed.> > ************ **New MapQuest Local shows what's happening at your destination. > Dining, Movies, Events, News & more. Try it out > (http://local. mapquest. com/?ncid= emlcntnew0000000 2)>__________________________________________________

[Guest guest]

Supposedly the liver feels no pain - here is a link (I found somewhat confusing) that explains why we feel pain although the liver supposedly does not feel pain:

http://www.hepatitis-central.com/hcv/liver/pain.html

Liver Pain?

(The medical term for Liver Pain is Hepatalgia)

Abdominal pain is one of the most frequent complaints of Hep C patients, and one taken less than seriously by many doctors, because "the liver cannot feel pain".

HEPATITIS & LIVER PAIN

Many chronic hepatitis C patients have expressed their frustration when it comes to describing and sharing the experience of various abdominal pains and discomforts with their physicians. Frequently, these acute or chronic pains are dismissed as having little or nothing to do with chronic liver disease. What do physicians know about abdominal pain?

Read the following and learn about the mechanisms of abdominal pain in general and the types of pain that result from diseases of some specific organs.

Abdominal organs are unresponsive to many stimuli that normally would elicit severe pain.

For example, cutting or crushing of abdominal organs does not result in a recognizable sensation. The pain fibers in the viscera (large interior organs) are generally sensitive only to stretching or increased wall tension. The causes of stretching or tension vary. In hollow organs such as the intestine or gallbladder, nociceptive fibers are located in the muscular wall. Afferent (conveying towards a center) impuses travel along the sympathetic nerves.

In solid organs such as the liver and kidney, such fibers supply the capsule and react to capsular stretching. An inflammatory reaction to microbes or toxins produces organ pain (visceral) through the elaboration of tissue hormones or metabolites (substances produced by metabolism). Four different mechanisms give rise to abdominal pain: (1) visceral; (2) referred; (3) parietal peritoneal; and (4) psychogenic.

VISCERAL PAIN

Pain resulting from stimulation of sensory afferent nerves innervating abdominal organs.The pain is often difficult to describe (usually as cramping or aching), dull in nature, and poorly localized to the midline from the upper (epigastrium) to the lower abdominal area.The pain may be accompanied by nausea, vomiting, sweating, pallor, and restlessness.Patients often move about in bed, occasionally finding relief with a change in position.

REFERRED PAIN

Visceral pain may be referred to a remote area of the body, where it is perceived as cutaneous pain (sensation of pain in the skin) in an area supplied by the same spinal cord level as the affected abdominal organ. Referred pain is usually well localized and appears when noxious visceral stimuli become more intense. Thus, swelling of the liver capsule by a hematoma (swollen blood vessels) after liver biopsy is first perceived in the abdomen but may be referred to the right shoulder.

PARIETAL PERITONEAL PAIN

When the parietal peritoneum (abdominal membrane that encloses that body cavity) becomes involved as a result of abdominal pathology (disease process), nerves supplying the area are stimulated and generally produce pain that is more intense and more precisely localized than is visceral pain. The classic example is the localized pain of acute appendicitis. Parietal pain is often aggravated by movement; hence the patient's desire to lie completely still.

PSYCHOGENIC PAIN

This is obviously abdominal pain that is perceived but without any local cause.Unfortunately, this may be a pain mechanism that some physicians choose to attribute to some chronic hepatitis patients' episodes of pain. However, as cited above, physicians should take the time to explain and concede that there are valid causes for different types and intensities of abdominal pain that arise from our internal organs due to inflammation and toxic conditions.

FURTHERMORE....

When the hollow structures of the gallbladder and biliary tract dilate due to the disease process, pain is experienced in the upper abdomen or right upper abdomen. Pain may also be referred to the back between the shoulder blades. Pain from the pancreas is also felt in the upper abdomen and is often referred to the middle of the back. In a manner analogous to the liver, gallbladder, and biliary tract on the right, lesions in the tail of the pancreas that involve the diaphragm, may result in referred pain to the left shoulder.Bacterial or viral infection of any intraabdominal organ may cause abdominal pain.Interference with venous or arterial blood flow can affect the abdominal organs. Clinically this may present as severe abdominal pain and shock.

Source: FOCUS: On Hepatitis C Newsletter

Chris

Speaking of liver pain, where about does that happen?New MapQuest Local shows what's happening at your destination. Dining, Movies, Events, News more. Try it out!

[Guest guest]

Thanks Jax - it's a better explanation than what I found - I had heard this for a long time - my "pains" come and go - none for many, many months and then daily for awhile - Speaking of gas, I do notice that when I have problems with something that I ate - I get gas AND pain in various areas - sometimes my pelvic area and other times around my liver - but when the gas goes away so does the pain. Weird.

Yeah, sometimes I wish that there was some kind of machine that doctors could go into that would mimic what their patients go through - think they'd change their tune pretty fast, lol.

Later, off to watch SNL.

Chris

What I know about pain in the liver area is this.. The liver has no sensory pain receptors inside the liver itself. The sac that surrounds the liver does and so it can feel pressure, stretching and it can send painful stimuli to the brain when one has the biopsy and the needle punctures the sac. But the inside of the liver tissue does not feel pain and for that Im very thankful actually. If the liver is swollen too, it can apply pressure on the diaphram and that can cause pain in the clavicle area of the shoulder.(referred pain)...When I had my tubes tied, they did it laproscopically, so when they filled my pelvic cavity with gas to inflate everything so they could see, they do try to get it all out but sometimes they dont and afterwards you have sharp pains just below the collarbone (clavicle) on each side. it does go away but can be very painful.New MapQuest Local shows what's happening at your destination. Dining, Movies, Events, News more. Try it out!

[Guest guest]

Wow -- great explanation - now I really feel better - I could visualize it from the way you described things.

And I agree about snl - I only watched the original first 2 seasons - way back when - hate to remember how long ago that was...........but something about this year has been extremely entertaining........

chris

enjoy SNL,, I used to love it but its not like it used to be,,

yeah, I wish they had something that the docs could experience what we do, they'd change their minds for sure..

well if you remember that your colon starts on the lower left( if you are standing facing the person you're talking about) side and goes up to just below your rib cage then takes a right turn across your abdomen, then goes down on the right side, so gas in your colon can push against all the other organs... and cause pressure and pain..New MapQuest Local shows what's happening at your destination. Dining, Movies, Events, News more. Try it out!

[Guest guest]

What I know about pain in the liver area is this.. The liver has no sensory pain receptors inside the liver itself. The sac that surrounds the liver does and so it can feel pressure, stretching and it can send painful stimuli to the brain when one has the biopsy and the needle punctures the sac. But the inside of the liver tissue does not feel pain and for that Im very thankful actually. If the liver is swollen too, it can apply pressure on the diaphram and that can cause pain in the clavicle area of the shoulder.(referred pain)...When I had my tubes tied, they did it laproscopically, so when they filled my pelvic cavity with gas to inflate everything so they could see, they do try to get it all out but sometimes they dont and afterwards you have sharp pains just below the collarbone (clavicle) on each side. it does go away but can be very painful.

When it talks about the lining or covering of the cavity or organ, the way I learned to remember it is that Visceral means organ and parietal is the covering of the cavity itself.. When one has a cramping, colicy pain, that usually is a hollow organ instead of a solid organ like the liver. Sometimes its very hard to dicipher where the pain is coming from and why you have it. It can be very hard even for a doc with all his fancy gadgets to figure out where its coming from too.... I really dont like the term "psychogenic" pain,, thats usually what they call it when they cannot figure out where it is coming from so they say its all in our heads.. sigh..... shouldnt do that anymore,,its wrong and it makes us feel like they dont believe us... grrrrrrr....

thanks for posting this,,

hugs,

jaxJackie

Subject: Re: Re: Why Antioxidants are Important for Hepatitis C ...To: Hepatitis_C_Central Date: Saturday, October 18, 2008, 5:05 PM

Supposedly the liver feels no pain - here is a link (I found somewhat confusing) that explains why we feel pain although the liver supposedly does not feel pain:

http://www.hepatiti s-central. com/hcv/liver/ pain.html

Liver Pain?

(The medical term for Liver Pain is Hepatalgia)

Abdominal pain is one of the most frequent complaints of Hep C patients, and one taken less than seriously by many doctors, because "the liver cannot feel pain".

HEPATITIS & LIVER PAIN

Many chronic hepatitis C patients have expressed their frustration when it comes to describing and sharing the experience of various abdominal pains and discomforts with their physicians. Frequently, these acute or chronic pains are dismissed as having little or nothing to do with chronic liver disease. What do physicians know about abdominal pain?

Read the following and learn about the mechanisms of abdominal pain in general and the types of pain that result from diseases of some specific organs.

Abdominal organs are unresponsive to many stimuli that normally would elicit severe pain.

For example, cutting or crushing of abdominal organs does not result in a recognizable sensation. The pain fibers in the viscera (large interior organs) are generally sensitive only to stretching or increased wall tension. The causes of stretching or tension vary. In hollow organs such as the intestine or gallbladder, nociceptive fibers are located in the muscular wall. Afferent (conveying towards a center) impuses travel along the sympathetic nerves.

In solid organs such as the liver and kidney, such fibers supply the capsule and react to capsular stretching. An inflammatory reaction to microbes or toxins produces organ pain (visceral) through the elaboration of tissue hormones or metabolites (substances produced by metabolism). Four different mechanisms give rise to abdominal pain: (1) visceral; (2) referred; (3) parietal peritoneal; and (4) psychogenic.

VISCERAL PAIN

Pain resulting from stimulation of sensory afferent nerves innervating abdominal organs.The pain is often difficult to describe (usually as cramping or aching), dull in nature, and poorly localized to the midline from the upper (epigastrium) to the lower abdominal area.The pain may be accompanied by nausea, vomiting, sweating, pallor, and restlessness.Patients often move about in bed, occasionally finding relief with a change in position.

REFERRED PAIN

Visceral pain may be referred to a remote area of the body, where it is perceived as cutaneous pain (sensation of pain in the skin) in an area supplied by the same spinal cord level as the affected abdominal organ. Referred pain is usually well localized and appears when noxious visceral stimuli become more intense. Thus, swelling of the liver capsule by a hematoma (swollen blood vessels) after liver biopsy is first perceived in the abdomen but may be referred to the right shoulder.

PARIETAL PERITONEAL PAIN

When the parietal peritoneum (abdominal membrane that encloses that body cavity) becomes involved as a result of abdominal pathology (disease process), nerves supplying the area are stimulated and generally produce pain that is more intense and more precisely localized than is visceral pain. The classic example is the localized pain of acute appendicitis. Parietal pain is often aggravated by movement; hence the patient's desire to lie completely still.

PSYCHOGENIC PAIN

This is obviously abdominal pain that is perceived but without any local cause.Unfortunately, this may be a pain mechanism that some physicians choose to attribute to some chronic hepatitis patients' episodes of pain. However, as cited above, physicians should take the time to explain and concede that there are valid causes for different types and intensities of abdominal pain that arise from our internal organs due to inflammation and toxic conditions.

FURTHERMORE. ...

When the hollow structures of the gallbladder and biliary tract dilate due to the disease process, pain is experienced in the upper abdomen or right upper abdomen. Pain may also be referred to the back between the shoulder blades. Pain from the pancreas is also felt in the upper abdomen and is often referred to the middle of the back. In a manner analogous to the liver, gallbladder, and biliary tract on the right, lesions in the tail of the pancreas that involve the diaphragm, may result in referred pain to the left shoulder.Bacterial or viral infection of any intraabdominal organ may cause abdominal pain.Interference with venous or arterial blood flow can affect the abdominal organs. Clinically this may present as severe abdominal pain and shock.

Source: FOCUS: On Hepatitis C Newsletter

Chris

In a message dated 10/18/2008 6:33:50 P.M. Central Daylight Time, srcoffee142001@ yahoo.com writes:

Speaking of liver pain, where about does that happen?

New MapQuest Local shows what's happening at your destination. Dining, Movies, Events, News more. Try it out!

[Guest guest]

enjoy SNL,, I used to love it but its not like it used to be,,

yeah, I wish they had something that the docs could experience what we do, they'd change their minds for sure..

well if you remember that your colon starts on the lower left( if you are standing facing the person you're talking about) side and goes up to just below your rib cage then takes a right turn across your abdomen, then goes down on the right side, so gas in your colon can push against all the other organs... and cause pressure and pain..Jackie

Subject: Re: Re: Why Antioxidants are Important for Hepatitis C ...To: Hepatitis_C_Central Date: Saturday, October 18, 2008, 8:32 PM

Thanks Jax - it's a better explanation than what I found - I had heard this for a long time - my "pains" come and go - none for many, many months and then daily for awhile - Speaking of gas, I do notice that when I have problems with something that I ate - I get gas AND pain in various areas - sometimes my pelvic area and other times around my liver - but when the gas goes away so does the pain. Weird.

Yeah, sometimes I wish that there was some kind of machine that doctors could go into that would mimic what their patients go through - think they'd change their tune pretty fast, lol.

Later, off to watch SNL.

Chris

In a message dated 10/18/2008 10:06:02 P.M. Central Daylight Time, redjaxjmyahoo (DOT) com writes:

What I know about pain in the liver area is this.. The liver has no sensory pain receptors inside the liver itself. The sac that surrounds the liver does and so it can feel pressure, stretching and it can send painful stimuli to the brain when one has the biopsy and the needle punctures the sac. But the inside of the liver tissue does not feel pain and for that Im very thankful actually. If the liver is swollen too, it can apply pressure on the diaphram and that can cause pain in the clavicle area of the shoulder.(referred pain)...When I had my tubes tied, they did it laproscopically, so when they filled my pelvic cavity with gas to inflate everything so they could see, they do try to get it all out but sometimes they dont and afterwards you have sharp pains just below the collarbone (clavicle) on each side. it does go away but can be very

painful.

New MapQuest Local shows what's happening at your destination. Dining, Movies, Events, News more. Try it out!

[Guest guest]

Im glad I could help others to understand.. good deal,, lol

I know what you mean about SNL,, Im 54, so I watched it years ago when it first started,, Jackie

Subject: Re: Re: Why Antioxidants are Important for Hepatitis C ...To: Hepatitis_C_Central Date: Saturday, October 18, 2008, 8:49 PM

Wow -- great explanation - now I really feel better - I could visualize it from the way you described things.

And I agree about snl - I only watched the original first 2 seasons - way back when - hate to remember how long ago that was......... ..but something about this year has been extremely entertaining. .......

chris

In a message dated 10/18/2008 10:38:19 P.M. Central Daylight Time, redjaxjmyahoo (DOT) com writes:

enjoy SNL,, I used to love it but its not like it used to be,,

yeah, I wish they had something that the docs could experience what we do, they'd change their minds for sure..

well if you remember that your colon starts on the lower left( if you are standing facing the person you're talking about) side and goes up to just below your rib cage then takes a right turn across your abdomen, then goes down on the right side, so gas in your colon can push against all the other organs... and cause pressure and pain..

New MapQuest Local shows what's happening at your destination. Dining, Movies, Events, News more. Try it out!

[Guest guest]

I know when I had my gall bladder removed this past spring, I had the same pain in my shoulder area. I was told the same, the excess air escaping. I had my biopsy done at the same time and was told the soreness was from the inflamation that my TB had put on liver and from seperating the two. Unless I misunderstood him (which is quite possible) the discomfort from the biopsy is minimal if any.Amber Sent via BlackBerry by AT&TDate: Sat, 18 Oct 2008 20:05:39 -0700 (PDT)To: <Hepatitis_C_Central >Subject: Re: Re: Why Antioxidants are Important for Hepatitis C ... What I know about pain in the liver area is this.. The liver has no sensory pain receptors inside the liver itself. The sac that surrounds the liver does and so it can feel pressure, stretching and it can send painful stimuli to the brain when one has the biopsy and the needle punctures the sac. But the inside of the liver tissue does not feel pain and for that Im very thankful actually. If the liver is swollen too, it can apply pressure on the diaphram and that can cause pain in the clavicle area of the shoulder.(referred pain)...When I had my tubes tied, they did it laproscopically, so when they filled my pelvic cavity with gas to inflate everything so they could see, they do try to get it all out but sometimes they dont and afterwards you have sharp pains just below the collarbone (clavicle) on each side. it does go away but can be very painful.When it talks about the lining or covering of the cavity or organ, the way I learned to remember it is that Visceral means organ and parietal is the covering of the cavity itself.. When one has a cramping, colicy pain, that usually is a hollow organ instead of a solid organ like the liver. Sometimes its very hard to dicipher where the pain is coming from and why you have it. It can be very hard even for a doc with all his fancy gadgets to figure out where its coming from too.... I really dont like the term "psychogenic" pain,, thats usually what they call it when they cannot figure out where it is coming from so they say its all in our heads.. sigh..... shouldnt do that anymore,,its wrong and it makes us feel like they dont believe us... grrrrrrr....thanks for posting this,, hugs,jaxJackieSubject: Re: Re: Why Antioxidants are Important for Hepatitis C ...To: Hepatitis_C_Central Date: Saturday, October 18, 2008, 5:05 PMSupposedly the liver feels no pain - here is a link (I found somewhat confusing) that explains why we feel pain although the liver supposedly does not feel pain: http://www.hepatiti s-central. com/hcv/liver/ pain.html Liver Pain?(The medical term for Liver Pain is Hepatalgia)Abdominal pain is one of the most frequent complaints of Hep C patients, and one taken less than seriously by many doctors, because "the liver cannot feel pain".HEPATITIS & LIVER PAINMany chronic hepatitis C patients have expressed their frustration when it comes to describing and sharing the experience of various abdominal pains and discomforts with their physicians. Frequently, these acute or chronic pains are dismissed as having little or nothing to do with chronic liver disease. What do physicians know about abdominal pain?Read the following and learn about the mechanisms of abdominal pain in general and the types of pain that result from diseases of some specific organs.Abdominal organs are unresponsive to many stimuli that normally would elicit severe pain.For example, cutting or crushing of abdominal organs does not result in a recognizable sensation. The pain fibers in the viscera (large interior organs) are generally sensitive only to stretching or increased wall tension. The causes of stretching or tension vary. In hollow organs such as the intestine or gallbladder, nociceptive fibers are located in the muscular wall. Afferent (conveying towards a center) impuses travel along the sympathetic nerves.In solid organs such as the liver and kidney, such fibers supply the capsule and react to capsular stretching. An inflammatory reaction to microbes or toxins produces organ pain (visceral) through the elaboration of tissue hormones or metabolites (substances produced by metabolism). Four different mechanisms give rise to abdominal pain: (1) visceral; (2) referred; (3) parietal peritoneal; and (4) psychogenic.VISCERAL PAINPain resulting from stimulation of sensory afferent nerves innervating abdominal organs.The pain is often difficult to describe (usually as cramping or aching), dull in nature, and poorly localized to the midline from the upper (epigastrium) to the lower abdominal area.The pain may be accompanied by nausea, vomiting, sweating, pallor, and restlessness.Patients often move about in bed, occasionally finding relief with a change in position.REFERRED PAINVisceral pain may be referred to a remote area of the body, where it is perceived as cutaneous pain (sensation of pain in the skin) in an area supplied by the same spinal cord level as the affected abdominal organ. Referred pain is usually well localized and appears when noxious visceral stimuli become more intense. Thus, swelling of the liver capsule by a hematoma (swollen blood vessels) after liver biopsy is first perceived in the abdomen but may be referred to the right shoulder.PARIETAL PERITONEAL PAINWhen the parietal peritoneum (abdominal membrane that encloses that body cavity) becomes involved as a result of abdominal pathology (disease process), nerves supplying the area are stimulated and generally produce pain that is more intense and more precisely localized than is visceral pain. The classic example is the localized pain of acute appendicitis. Parietal pain is often aggravated by movement; hence the patient's desire to lie completely still.PSYCHOGENIC PAINThis is obviously abdominal pain that is perceived but without any local cause.Unfortunately, this may be a pain mechanism that some physicians choose to attribute to some chronic hepatitis patients' episodes of pain. However, as cited above, physicians should take the time to explain and concede that there are valid causes for different types and intensities of abdominal pain that arise from our internal organs due to inflammation and toxic conditions.FURTHERMORE. ...When the hollow structures of the gallbladder and biliary tract dilate due to the disease process, pain is experienced in the upper abdomen or right upper abdomen. Pain may also be referred to the back between the shoulder blades. Pain from the pancreas is also felt in the upper abdomen and is often referred to the middle of the back. In a manner analogous to the liver, gallbladder, and biliary tract on the right, lesions in the tail of the pancreas that involve the diaphragm, may result in referred pain to the left shoulder.Bacterial or viral infection of any intraabdominal organ may cause abdominal pain.Interference with venous or arterial blood flow can affect the abdominal organs. Clinically this may present as severe abdominal pain and shock.Source: FOCUS: On Hepatitis C Newsletter In a message dated 10/18/2008 6:33:50 P.M. Central Daylight Time, srcoffee142001@ yahoo.com writes:Speaking of liver pain, where about does that happen? New MapQuest Local shows what's happening at your destination. Dining, Movies, Events, News more. Try it out!