Pain in stomach from mid abdomen to back, worsened while lying down.  CT scan showed fatty liver.  Concerning?
Patient: I have gone to my general practitioner for the last year with unidentified stomach pain.  It is pain to the touch.  I have had an abdominal CT and a fatty liver has been identified.  Now my pain extends from my mid abdomen and to my back and my back pain is more extensive when I lie down to sleep at night.  this has been the case for the last 6 months.  I'm heading to a GI Specialist.  Should this be a concern? Doctor: Welcome to HCM.The back pain would be due to musculoskeletal causes though spinal nerve root compression would need to be ruled out.A fatty liver would cause a moderate ache over the right subcostal area and hypochondrium.The management for the liver problem will include life style changes ,like a low fat diet with plenty of fruits and vegetables.Regular exercise like a daily 45 minute brisk walk  would  help.The back pain needs to be investigated and treated,use of NSAIDs like ibubrufen will help till yo see your doctor.