Welcome @Xavi
Sorry for your pain are you seeing a doctor and getting your liver monitored?
It’s hard to tell by symptoms because Hep B doesn’t have symptoms until the later stage.of the disease.
If you are getting monitored and your liver is fine, then I don’t think it is your liver, I’m not a doctor but I have had Hep B for 40 years.
When I did have general pain, I would usually think that was from my liver, but it always turned out to be something else😊
This is my experience only and I’m not a doctor. Hopefully someone else can chip in soon .
Blessings
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Hi @Caraline I appreciate your insight. Yes i am and my levels are quite low. lt could be psychological, I’ll keep it in mind. No pun intended. 
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Hi @Xavi,
Welcome to the forum and thanks for your question. That’s great that you are maintaining monitoring and doing well otherwise. With regards to your pain, it might be worth reading this thread (where I’ve just moved your post). There may be many reasons why you are experiencing this pain and it might be worth talking to your doctor about this.
Hope this helps,
Thomas
@ThomasTu I think it is logical to agree that after a few people have made the same complaint about the discomforts in the upper right quadrant of the belly that this matter is worth looking into. Probably worth researching to understand the cause of it and treatment measures
This discomfort is highly unbearable and it is one of the main reasons for fatigue in the day to day lives of chronic hepatitis b patients. This pain continues to weigh you down and disturb the flow of the day.
Kindly look into this and recommend what to be done about it. If you have any suggestions, please send it in.
It is quite unbearable and I am so tired of it. 
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Hi @Adedeji_Joseph,
Thanks for raising this point and I am sorry that this has impacted your life so deeply and significantly.
Indeed, many people do make this complaint as they are (rightly) warned that liver injury can cause upper right quadrant pain. The way doctors confirm whether the liver is the case is the increase in ALTs - which is part of the confirmation that it is liver-related. However, many things can cause this symptom, so it is part of the diagnostic process to look at other causes if ALTs are not raised - indeed, muscular and stomach related issues are also common.
That said, I think there needs to be greater understanding of the extent to which liver disease may be the underlying cause if ALTs are not increased. I am not dismissing this, I do think it may be worthwhile, but I mention the above just to give a bit more context of the thinking pattern of doctors and scientists.
Hope this helps,
Thomas
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Hello, Dr. Thomas!
I would like to know if anyone experiencing this pain has received a diagnosis. To this day, I haven’t been able to find a cause for it. I’ve spoken to my hepatologist, and his response is that it isn’t liver-related. However, I’m very worried that something might be wrong—even though my blood work and imaging tests are normal—because the pain started after my Hepatitis B diagnosis, and it’s located in the liver area.
If anyone experiencing this pain has identified a cause and could share it with us to help us investigate, it would be incredibly helpful.
God bless us, always.
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Dear @La.sciamachie,
I have had upper right quadrant pain in the past that has been due to flares, but also ones that were just because I spent too long at the computer (not enough gym), or working out too hard (too much gym). It really varies and sometimes you need an awareness of yourself (when it happens, when it stops, is it matched with anxiety, etc.) to figure out what might be happening.
TT
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Over the last couple of days, I’ve noticed that keeping pressure on the right hypochondrium for a while causes discomfort—sometimes it feels like the liver is heavy, other times like it’s burning.
Does the fact that our liver is genetically modified make it more sensitive to certain types of pressure? Can it increase in size even when Hepatitis B is under control?
Sorry for harping on this subject, but these are questions that keep coming to mind…
Hello @La.sciamachie
I remember only ever having a pain in the right side, upper when I travelled on a plane. I noticed a pattern.
Not sure if it was postural issues or liver.
Around that time, I was put on treatment.
This was years ago.
I do still get occasional pain still but I’m pretty sure it’s my gut issues.
Sorry I can’t be of more help. And hope you will solve this mystery.
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