Hepatomegaly means Enlarged liver. 

An enlarged liver may not always be palpable if is is slightly enlarged and a palpable liver is not always enlarged.

Causes

1. Infective 

• Amebiasis
• Schistosomiasis
• Bacterial infections
• Typhoid
• Tuberculosis
• Infective hepatitis
• Infectious mononucleosis
• Syphilis
• Weil's disease
• Malaria 
• Kala azar
• Actinomycosis
• Echinococcus
• Histoplasmosis

2. Congestive

• Cardiac failure
• Cardiomyopathy
• Constrictive pericarditis
• Budd chiari syndrome

3. Cirrhosis

• In early stage

4. Biliary obstruction

• Gall stones
• Strictures

5. Degenerative and infiltrative disease

• Fatty
• Amyloid
• Gaucher's disease
• Niemann picks disease
• Hodgkin's disease
• Leukemias
• Multiple myeloma

6.Tumors

• Primary - Hepatocellular,cholangiocellular sarcomas
• Secondary

7. Toxic

• Alcohol
• Arsenic
• Phosphorus
• Chlorpromazine.

Painful Hepatomegaly

• Cardiac failure
• Viral hepatitis
• Hepatic amebiasis
• Pyemic abscess of liver
• Hepatoma
• Actinomycosis of liver
• Weil'disease(leptospirosis)

Clinical Feature

• Weakness
• Pale skin
• Loss of appetite
• Lethargy
• Weight loss
• Nausea 
• Vomiting

Differential diagnosis

• Viral hepatitis
• Amebic Liver Abscess
• Pyemic Liver Abscess
• Malaria
• Kala Azar
• Hydatid Cyst
• Congestive Hepatomegaly
• Cirrhosis of Liver
• Hemochromatosis
• Biliary Obstruction
• Alcoholic Liver Affection
• Leukemias
• Hodgkin's Disease
• Amyloidosis.

Investigation

Ultrasound

MRI

CT scan

Blood test

Magnetic resonance elastocraphy

 Treatment

• Prednisone
• Azathioprine

Homoeopathic Remedies For Hepatomegaly 

1. China
2. Nux vomica 
3. Chelidonium
4. Phosphorus
5. Lycopodium

China

China is a great remedy for chronic liver troubles.

Enlarged liver.

Pain in right hypochondrium region.

Liver may be felt below the ribs.

Liver is enlarged hard and sensitive to touch.

Adapted to person with pale face and hippocratic, sunken eyes and surrounded by blue margins.

There is a great debility and prostration with aneamia due to excess loss of  body fluids.

Patient is very chilly

Great flatulance with sensation as if abdomen was fully packed with gas.

Best suited to the broken down constitution.

Desire for sour things, sour fruits, cold water.

Intense prostration.

Yellow skin, light stool, dark urine, bitter taste.

Vomiting of undigested food, sour mucus, bile or blood.

Abnormaly distended abdomen.

There is constant loud and strong eructation without any relief.

Nux vomica

Best suited to Induration and swelling of liver caused by high living, debauchery and drunkeness. 

The region of liver is so sore that the patient constantly loose his clothing to release the oppression.

Best suited to all affections of liver.

Nux vomica is a routine remedy for loss of appetite.

Patients craves pungent bitter things and tonics, alcohol, beer.

Aversion to meat as it makes him sick.

Anterior half of the tongue clean and posteriorQ white coated, furred cracked on edges.

Modalities

Aggravation- Eating, open air, mental exertion, anger, alcohol, masturbation, constipation.

Putrid and bitter taste in morning.

Constant nausea after eating in morning. If I could only vomit I would feels much better.

Stomach pressure an hour or two hour after eating as from a stone.

Chelidonium

It is a best adapted to person who has yellow grey colour skin.

Liver pains shooting towards back and shoulder.

Liver enlarged, indurated, sensitive on pressure.

Hepatic disease, jaundice, with pain in right shoulder, due to hepatic and gall bladder.

Ascites.

Sensation as of an animal wriggling in epigastric region.

Bitter water collects in mouth.

Salivation with nausea and giddiness.

Yellow coated of tongue.

Aggravated from change of weather

Ameliorate by eating

Best suited to right sided affections.

Desire for hot drinks.

Chelidonium is indicated in liver diseases with constant pain under the lower and inner angle of scapula.

Nausea and vomiting with bitter taste in mouth.

Epigastric region tender.

Tongue narrow pointed, thickly coated yellow with red margin, showing imprint of #teeth.

Phosphorus

It is best suited for tall, slender person with narrow chest who are good and beautiful to look at, having fair, thin transparent skin, delicates eyelashes, fine blond or red hair

Patient is chilly.

Face is old looking with sunken eyes.

Waxy, half anaemic, jaundice person.

Craving for cold things, ice cream, which agrees, or cold water, which is thrown up as if gets warm in the stomach.

Aversion to sweets, meat, boiled milk, salt fish, beer, pudding, coffee, tea, warm drinks, fats and rich foods, smoking his accustomed cigar, butter.

Desire for very cold drinks.

Worse - Evening before midnight, lying on left or painful side, during a thunderstorm, weather changes either hot or cold, cold open air, warm ingesta, salt.

Phosphorus is a right sided remedy.

A very weak, empty, gone sensation felt in whole abdominal cavity.

Acute hepatitis.

Acute liver troubles.

Fatty degeneration of liver, spleen and pancreas.

Rubs abdomen for relief.

Bad effects of eating too much salt.

Pressure after eating, as from a hard substances.

Craves cold drinks which  ameliorate but are vomited in a little while, when it becomes warm in stomach.

Nausea from placing hands in warm water.

Vomiting of bile, blood, coffee grounds.

Alcoholic cirrhosis of Liver.

Lycopodium

Lycopodium is indicated in chronic liver troubles 

Atrophic liver leading to pale face, varicosities in various place in body -legs and genitalia.

Desire for warm drinks and sweets.

Sour stomach.

Aggravation- 4-8p.m., cold food and drinks.

Better by warm food and drinks

Sour taste in mouth 

White coated tongue

Nausea and vomiting in gastric catarrah

Sour vomiting, distension, flatus, pain after eating with a sense of fullness.

Lyco patient are always belching, they have eructations that are sour acid like strong acid burning in the pharynx.

Epigastric region is extremely sensitive to touch and tight clothing.

Tenderness in the right hypochondriac.

Due to atrophy of liver there is stagnation of circulation causing swelling and enlargement of veins.

Rumbling of flatulence is found particularly in region of splenic flexure of colon or left hypochondria.

Tongue is covered with numerous small blisters that burn and scald.

The selection of homoeopathic remedies based on symptom similarities and doses according to the Susceptibility of patient.

Don't take homoeopathic medicine without any prescription / without any advise of physician.