Conversation: The conversation between human and AI assistant.
[|Human|] I Have Had Left Sided Back Pain For A Yr And A Half With A Loss Of appetite. I Have A Positive ANa 1:640 Homogenous Pattern And Now A Enlarged Spleen Measures17Cm. So Far My Cbc Is Normal. My Weight Has Been Steady But Lots Of Left Sided Back Pain And Never Hungry. I Am Just Lost What Could Cause This. I Have Also Been Told Possible Fatty Liver But Never Been A Drinker.
[|AI|]  Hello, I have studied your case. Your Ana title suggests autoimmune disease. Back pain and joint pain are common symptoms of autoimmune diseased also check your it B12 and it D3 level.HLA B 27 blood test with RA test may rule out spondylitis. Medication like methylcobalamine and analgesic will reduce pain. You can do yoga exercises and focus on spine extension exercises. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. Hope this helps. Wish you a speedy recovery.  Take care