<s>[INST] My 48 yr old bro is having problems and no ER will help him because he is homeless, Oboma Care DOESNT CARE. My bro is past heavy drinker. His abdomen is extended bad at times then its fine. He has low back pains and complaining about his left nut hurting. He has gain aprox 30lbs in 2 weeks. All ER turn him away after 3 day. What is wrong we fear the worst. Also has hehepatitis B and copd, still smokes. Help? [/INST] Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Heavy Chat Doctor.  All this points the favor of liver failure in your brother. Because of liver failure protein is excreting in extracellular fluids causing the body to accumulate more of water. The only care with your brother is required an urgent hospitalization. Your problem won't solve without hospitalization. I suggest you to make your brother free from alcohol and smoking. If he won't with </s>