Bile Reflux/Gastritis Requirements

[liverbelching]

Hello:

I am 23 year old male.  I have autoimmune hepatitis - liver is stage 3 bridging fibrosis.  I am on 100mg of imuran daily.  Take absolutely nothing other than that

Symptoms:
-Belching (triggered by movement, not by food) - persistent for about 1 year
-Pain in upper right rib cage (triggered by eating, 25 minutes to onset, stop 90 minutes after that.  Fat content of food doesn't make difference)
-Postural hypotension (black out most times when I stand up, have fainted several times)
-Brief stabbing pain - lasts just one second - have had in my fingers, legs, and side.  It is enough to double me over.  Like I'd been shot with a rifle.  Usually just a couple times a week
-Cherry angiomas all over chest and back - about 50 of them

Tests:
-Upper Endoscopy (normal UES/ECJ, mild antral erythema and bile staining of stomach)
-Ultrasound (normal gallbladder, normal bile ducts, heterogeneous echotexture of liver - was not very good because GB was contracted)
-Tons of blood work for monitoring my AIH (normal liver enzymes, normal platelets, normal RBCs/WBCs)

Questions:
-Could the erythema/bile reflux in my stomach be causing my belching, even though I have zero stomach pain? My RUQ pain is no where close to my stomach and doesn't coincide with my belching
-Do you think my hypotension/belching/stabbing pain is associated with my liver condition?
-Thoughts on any other tests I should look into having done?

Thanks,

[CalGal]

Bile reflux can cause some of the symptoms you're talking about. Normal GB but contracted? That's not exactly normal, nor is bile refluxing. You may want to discuss having a HIDA scan with CCK injection with your doc. The RUQ pain could be coming from the GB.