Conversation: The conversation between human and AI assistant.
[|Human|] I know I have cancer...been sick for 15 years. I tried for the first 4 years of symptons to get a diagnosis but to no avail. My doctor started inferring that I might need psychological help. Finally about 6 years ago he agreed to a ct scan which uncovered an enlarged liver (they said they couldn t see my spleen)I went to a specialist and he told me that my skin looked to good to have cancer. Six years later I have spots on my face and back and hard nodules all over my arms and chest. I ve read that when cancer becomes cutaneous? that it s too late. My sister thinks I should go again to try for a diagnosis but I already know what I have. I have a myriad of other symptons. I was initial sent due to a bad rash and blood in my urine.
[|AI|]  Hi, There are many causes of liver enlargement and treatment depends on exact cause. If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are the most common causes and in this case medical evaluation is required.Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health. Kindly regards,