Hi welcome to HCM I have gone thru your query regarding upper back pain . It is a matter of concern . Dear .Causes of your back pain ,you are experiencing may be many , but in your case as it seems clearly , it is due to deranged function of liver . As your ultrasound test report shows gallbladder normal but fatty liver . The gallbladder stores, concentrates and secretes bile which is produced in the liver. The bile is ncessary in the intestine for the digestion and absorption of fat. It is also important for lubricating the intestinal wall. Once the gallbladder is removed, the bile looses its storage space and tends to accumulate in the liver. The liver organ is considered a fire or pitta organ in Naturopathy / Ayurveda. Good health of the liver requires the balance of the pitta dosha . If the liver is overloaded with toxins it will burn too hot and become inflamed causing problems throughout the body. The imbalance is treated with a combination of dietary and lifestyle changes as well as herbal remedies to increase immunity . I would like to suggest you to follow regimen as below to take balanced diet containing all essential nutrients , fiber ,vitamins , minerals in natural form -fruit veges ginger ,garlic fish oil , & flax seeds for Omega 3 , Prepare soup from vegetables like carrot, cucumber, spinach etc. and consume daily. Drink a cup of bitter gourd juice daily. Consume aloe Vera juice 30 ml mixed with Amla juice 1 spoon every morning for atleast 15 days for better result . Lemon juice with water with black pepper before meals twice , for atleast 15 days Take Turmeric powder a level teaspoon+ Almond oil is very important for our sound mental and physical health and strengthen immune response naturally of it with BF and & at bed time Have this at least for 20 days . Take orange juice every morning for better results. Take papaya daily to keep bowels clearing Henna powder decoction is also beneficial in curing liver enlargement. In fact,Your body is always fighting something -- an infection, a toxin, an allergen, a food or the stress response -- and somehow it redirects its hostile attack on your joints, your brain, your thyroid, your gut, your skin, or sometimes your whole body . Your immune system is your defense against invaders . But when the immune system becomes weak, the disease cells can grow out of control , the disease overpowers To strengthen your immune system do Walk ,Yoga , Pranayam deep Breathing ,Exercise daily For proper blood circulation , to lose weight if obesity is also the reason for your trouble . Avoid fried fast foods ,tea ,coffee ,white sugar, , chocolate and tomato, banana and even salad should also be avoided or minimized because they weaken the spleen and kidneys. Spicy foods should also be avoided, especially ginger and cinnamon which tend to congest the liver , alcohol , smoking ,stress ,worry, anger ,Constipation . Make sure that you get enough sleep every night Meditation also helps sooth the mind helps in detoxifying and strengthening the immune system to enhance resistance from diseases and pave way for healthy disease free life . Take Homeopathic Chelidonium 6 / Thrice a day / Take 4 hourly / for 15 days . Hope this helps solves your query .Take care .All the best Don t hesitate to come with further query if you have any . It’s important to check with your physician before adding herbs to your existing medications,regarding the herbs that are antioxidant ,have no side effects and go with any therapy of treatment . ,