Conversation: The conversation between human and AI assistant.
[|Human|] I am a 37 year old male...6 2 tall, been an athlete my entire life. I went to the ER two days ago for severe back pain. It was located mid to lower thorax , not flank area. Over the past few years I have had elevated bilirubin levels. I had a CT scan and it showed an enlarged (mild to moderate) spleen . Direct bilirubin was 0.30 and total bilirubin was 1.8... need help with what is going on.
[|AI|]  Hi there : I think this is a referred pain from viscera (gall bladder and so on). I guess what I am trying to say the low back pain is not from your back likely, rather it is from other reasons (hepato-biliary system) but this what you feel at this moment.  Furthermore, I would like you to see if the back pain radiate (referred to your legs)/ as well if this related with prolonged standing or to the body position. Such info might help to verify whether these symptoms from back originally or referred to your back from other reason. Take care