Conversation: The conversation between human and AI assistant.
[|Human|] Respected Sir,My wife,Mrs. Madhumita Banerjee,aged approximately 26 years,is bedded,feeling severe pain in lower parts of the body.Details of the case is furnished below:History:1.Went through severe jaundice on March092.During cesarean delivery of child,was applied spinal anaesthesia on January113.Had a fall from a running bike on October11,which didnt result in any immediate after effect.CASE HISTORY:Symptoms started showing up one and a half month earlier,when she felt unbearable pain in right side of waist.Mainly she was having problems while trying to move after rest.General physician suggested COMBIFLAME,what she continued for almost 3 weeks,but it was not any good except for some temporary reliefs.Having some medical suggestions,with a Lumbo Fractal Digital X ray report(which was absolutely fine),we moved on to an Orthopaedic.He advised her Lenox Plus,which reduced the pain of the right waist,but the pain shifted to the thigh area(from groin to upper thigh).On intimating the doctor,she was prescribed Zerodol MR.It reduced the pain to some extent,but the left ankle showed signs of swelling and black patches.Then she started taking Altraday(1 tablet per day) as per medical experts advice.As now,the left feet and right knee are showing clear signs of swelling,she is feeling unbearable pain in those areas along with in hip joint.The pain has got no burning feelings and grows unbearable as she tries to move from rest.Meanwhile,as per medical advice,a blood culture is done,which is showing only haemoglobin(10%) and ESR(38),fluctuating out of normal limits.Complete USG of lower abdomen is also perfect as per latest reports received.Your diagnosis and advice in this critical situation will be of great help.Please mention if any more tests need to be done for better scope of diagnosis in future.Regards,Preetam BanerjeeWest Bengal
[|AI|]  Hi the problems of generalized pain and the waist pain and now thigh pain after the jaundice, while 1. First is related to nutritional deficiency. Has to be treated with vitamin and folic acid supplementation. The vitamins particularly it B complex. No investigation are required, and you may start vitamin supplement like Recharge plus or Erosion forte, once daily.2. Second is related to disc herniation in the lower back. This may not at all be related to jaundice, but poor muscle tone in back may lead to this. You must get an MRI of the lower back and consult a pain specialist in your city.