<s>[INST] 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.  Im heading to a GI Specialist.  Should this be a concern? [/INST] Welcome to Chat Doctor. 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 Hyperion Chat Doctor. The management for the liver problem will include lifestyle 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 ibuprofen will help till to see your doctor. </s>