Conversation: The conversation between human and AI assistant.
[|Human|] I am having very stron upper stomach pain. It makes me really nauseous and every time I eat , it aggravates the pain. A little back pain too. I was admitted to a hospital about 4 months ago that after doing a CT of abdomen & pelvis with IV contrast. The summary was fatty involution, most notably involving the pancreatic head. There is diffuse low density of the remainder of pancreas, which may be chronic but could be indicative of developing pancreatic necrosis. Spots seen on pancreas. I am having real pain in upper abdomen, can t eat & really nauseous. Should I go to the hospital. Nothing helps
[|AI|]  Hi. You are having fatty infiltration of pancreas. This is common in patients who are obese and diabetic. Recently, it is shown by researchers that fatty infiltration of pancreas can be associated with increased risk of development of pancreatic cancer. Also, your pain may be related to chronic pancreatitis which can degenerate into fatty pancreas. My recommendation for you will be 1. Control sugar and weight loss 2. Meet a gastroenterologist for evaluation and treatment of pain 3. Be in regular follow up with a pancreatic surgeon for fatty pancreas. All the best