<s>[INST] My cousin, a lady, 44 years old, had typhoid 4 years ago. She was told that her liver had enlarged. She is now suffering from pain in the upper abdomen, just under the rib cage. She also has a slight pain in her back at about the same point as the pain in the abdomen. When she sits down in a relaxed manner, she feels the pain. She feels as if something is being stretched. Please can you help? [/INST] Howell come to ChatDoctorJust enlarge liver is not sufficient to know the exact pathology this needs all the parameters right from the clinical symptoms liver function test imaging study reports, then and then this can be decided for underlying cause of enlarge lever, else this is nothing to worry, upper abdominal pain could be due to hyperacidity and this can be well treated with the medicine given below1) Tab Omeprazole 40 mg once in day2) Tab Risperidone 30 mg once in day hope this information helps, take care have a nice day. </s>