Conversation: The conversation between human and AI assistant.
[|Human|] i am facing back pain namely L5 S1 form last 2 month, i had never been wounded by execeises nor been involved in any sports. but problem continously occur. even i consult with physicians but al  in vein.. please write me the solution....Mubashar Ali form Pakistan
[|AI|]  Hi, thanks for posting your concern in the Chat Doctor. You have mentioned in your history that you were having pain in L5S1 region. I need to know whether any imaging (X-ray or MRI) was done to rule out underlying cause. Although you don't have a history of trauma, mechanical back pain may occur due to prolonged faulty posture. If not yet done, imaging of the LS Spine would be necessary to rule out any spinal abnormality. Low back pain may occur due to reasons other than musculoskeletal abnormality too. A detailed history would rule out the possibilities.1. Do you have a history of fever?2. Does your pain radiate from the back?3. Is your pain continuous or intermittent or related to certain posture?4. How are your bladder and bowel habits? You should avoid having prolonged analgesic use for your pain, because it may cause nephropathy, gastritis or peptic ulcer disease. For pain relief, you may temporarily have Tab Paracetamol 500 mg twice daily after meals. Please have plenty of oral fluid. Bed rest for 2 days. Ispagulah husk 2 SF in a cup of water at bedtime. Please consult a local orthopedic doctor for further evaluation. For any further questions, please write back to me directly.