Conversation: The conversation between human and AI assistant.
[|Human|] Most of the symptoms I listed are being taken care of with medication. I am seeing a medication specialist and feel better than have in past 10 years. However, for the past few months I wake with extreme pain in my lower back. Once I crawl out of bed and move around or sit for a short time (half hour or less) the back pain is gone. One of my medications is seriquil, which makes me sleep deeply. Could this be it? I try to fall asleep on my side, but always wake on my back. the pain is so intense, I can barely get out of bed or take care of myself for a short time. For the rest of the day, no problems. With the new medications I am on, more energy and doing more physical things, but nothing I can think of that would cause the morning pain. Any ideas?
[|AI|]  Dear patient First I would like to know your age.  Back pain since 10 years indicates chronic nature. You history suggests arthritic nature of back pain which is worse in morning and improves as day passes. If you are of young to middle age kindly do your blood level of HLA B27 to rule out ankylosing spondylitis. I would like to advice radiograph of spine. Kindly get these two things done, and we will come to diagnosis and help in planning treatment.