Conversation: The conversation between human and AI assistant.
[|Human|] mY AGE IS 47 YRS. i HAVE LOWER BACK ACHE NOW AND THEN. tODAY MORNING IT HAPPENED . I TAKE PAIN KILLER LIKE mobizox containing diclofenac sodium, paracetemal and chlozoxazone. But it affects my liver. Can you suggest me a painkiller which is soft on liver.
[|AI|]  Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics give relief. You want to know analgesic soft on liver, tramadol is the safest on liver, but it causes acidity and nausea. It should be taken after meals. Take omeprazole before meals to prevent acidity caused by it.  Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care.