Conversation: The conversation between human and AI assistant.
[|Human|] For the past 5 years or so I have been having pain under the right rib (upper abdominal) back, and pelvic area. I have had multiple scans and EGD, and colonoscopy with only finding a peptic ulcer previously. Bloodwork comes back clean , and no one can seem to figure out what is wrong. Pain comes and goes but always has bloating which gets worse as the day goes on. Nothing helps with nausea or pain. I have been told I have fatty liver non-alcoholic but it was nothing to worry about if I could lose weight (which is something i struggle with). I m 39 years old already have my gallbladder taken out . I have one natural childbirth and still have all my female parts. I do have a mirena insert and experience some blotting with it.
[|AI|]  Hello, The location and movement of a pain gives clues as to what is going on. You've associated the pain with blotting. Without an exam, I can only give general information and not anything in particular. AND, dysfunction in stomach/esophageal motility is quite common.  Worse with being a bit out of shape and better in thinner people BUT, it's really common. Diet would be expected to potentially change it.  Seeing the effect of changes in soda or caffeine would tend to confirm this as a cause, but It's hard to get rid of. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.