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Liver Pain Causes. Causes of liver pain are not just a few but in fact quite a few owing to the importance of the organ. They give rise to liver pain of differing nature which may be categorized as acute or chronic liver pain, and sharp or dull liver pain. The causes can be listed as the following:-. 1  The most common cause of liver pain is a condition known as fatty liver, which is characterized by the excess accumulation of lipid molecules in the liver which causes it to swell. 2  Liver disorder of a chronic nature may be responsible for cirrhosis liver pain.
1 Back Pain: In most cases, pain in the liver is accompanied with back pain or shoulder pain, especially on the right side.  Fatigue: This is one of the common symptoms of liver diseases. The degree of fatigue is said to vary with the underlying cause and its severity.