Question
Long-term discomfort in the right upper quadrant, feeling a lot of gas in the abdomen, worse when lying down. Liver function tests show elevated levels of alanine aminotransferase, gastroscopy diagnosis is bile reflux gastritis, medication has not shown improvement. Taken Chinese herbal medicine for soothing the liver and regulating qi, symptoms improved temporarily but have now recurred. Inquiry on how to determine the cause and receive effective treatment.
Answer
It is recommended to take good rest, avoid alcohol consumption, staying up late, and overexertion, and maintain a cheerful mood. Recheck liver function; if liver function is normal, then focus on treating the gastritis. If liver function is abnormal, it may indicate coexisting liver disease and gastritis, requiring further treatment.