Right Upper Quadrant Discomfort: Gastritis or Liver Disease?

Long-term discomfort in the right upper quadrant, with a feeling of much gas in the abdomen, worse when lying down. Elevated alanine aminotransferase levels in liver function tests, diagnosis of bile reflux gastritis by gastroscopy, 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.
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