Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have constant belching, RUQ pain, and sternum/midback (under bra strap) pain.  Was off/on for a few months, now constant.   Had abdominal ultrasound (normal), two liver function panels (normal), chest Xray (normal).   Take 40 mgs of Prilosec twice daily.   Am getting endoscopy next month (already know I have a hiatal hernia from a previous endoscopy).  Had chest CT scan which showed lungs clear, but a 4 cm liver mass.   Then had contrast enhanced CT scan of liver only and no mass (reviewed by 3 docs, nothing there, think it was "fat infiltration".  Getting liver MRI next month to double check).  Also had AFP test (neg) and Hep tests (neg).   Totally confused now.  GI doc thinks I am exaggerating RUQ/back pain, but it is daily and getting worse.   Could this be liver, gallbladder, GERD, hernia?
[|AI|]  you may be having HERD which gives many varied symptoms. All that is to be done is to take Prilosec and have light diet, small frequent meals, avoid fats, spices,alcohol, take foods which are easily digestible.However, have an upper GI endoscopy done to confirm hiatal hernia current status and follow all precautions for HERD. You gastroenterologist doesn't consider liver, GB, then trust him, He may rule out Pancreatic disease also by serum amylase levels and endoscopy for GI symptoms Best wishes regards