Conversation: The conversation between human and AI assistant.
[|Human|] Hello, My aunt is having severe back pain at the bottom of the spinal cord. Doctors have given some physiotherapy treatment and advised an operation. But she refused, and the doctors have given her some antibiotics to reduce the pain. Now from past 2 weeks, she is suffering with chest pain. Also recently she has observed an enlargement in the liver area and hardening of the stomach. She says, she is not feeling hungry, and not able to breath properly. She has visited a doctor recently and he told, that there might be a wound inside the liver. Some other doctors told, due to high usage of antibiotics, it is common that it happens. Kindly tell me the problems related to liver and what could cause them and what are the treatments.
[|AI|]  Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Usually liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases it doesn't require any specific treatment.  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. You need to check your viral markers and do liver biopsy if necessary. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health