Conversation: The conversation between human and AI assistant.
[|Human|] I have had Upper Right Quadrant pain for 2 years and getting worse. It is always in the same area and goes through to my back as well. It is constant 24/7 and never goes away. It sometimes becomes stabbing pain which is very severe and the only way I can describe it is its like a firecracker has been put in my abdomen and then explodes. I have had numerous tests and CT, Ultrasound, X Ray etc and nothing can be found. All blood tests are normal. I had CT again last week with contrast and it picked up a Haemangioma in the Liver. On a CT done 2 yrs ago without contrast  there was a wedge shaped area in the Left lobe of the liver that looked different and they didnt know what it was. The pain is becoming bad. I have constant bad ache in RUQ all the time and the severe attacks are coming very frequently. I feel nauseous a lot, dont feel like eating, very tired all the time and I have also been on Estrogen since I was 29 and I am now 64 and only take it every few days now.  Could it be this Haemangioma causing the trouble as I have been told they dont usually cause pain. What will happen if I dont get any medical attention for this? Is it dangerous? My Doctors can not find a cause for my pain but this Haemangioma is a new discovery only this week.
[|AI|]  Hi ! The hematoma could be an incidental finding in your investigations for pain abdomen. Those who are on continuous estrogen therapy are also found to have at times co incidental hematomas in the liver. The pain you have got can also be due to a duodenal ulcer which has penetrated to the posterior aspect. I would suggest you to seek the advice of a gastroenterologist who may subject you to an endoscopic examination which has not yet been done in your case. In the meantime you can go for a proton pump inhibitor and a prokinetic Chat Doctor.  Wishing you an early recovery.