<s>[INST] Hi - I have been getting upper left back pain for quitea while now - I can t sleep on my back as I feel as if there is something there. I have a 2cm hiatus hernia (diagnosed about a year ago) am about 15 stone , with most weight in mid abdominal region. Was given omeprazole but no benefit to back pain. This now constant. Sometimes helps to eat, sometimes worse on eating - pleass help !! and thanks [/INST] Hello. Thanks for writing to us. The pain in your back can be a referred pain from the hiatus hernia. Some lifestyle modifications like avoiding oily and spicy food, sleeping with head end of the bed raised and taking omeprazole can help in relieving the symptoms. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor.  </s>