Conversation: The conversation between human and AI assistant.
[|Human|] Had a bad fall on ice in 2007, MRI showed an annual rent or something like that and disc bludge on L4-5.Since 2008 to about 2012 I learned to live with a pain level of about 3-4 out of 10.  During 2012 I noticed the pain increasing in strength and coming on earlier and earlier in the day.   I had a colonoscopy last June 2013 a tumor was cut out in the anle area and tested positive for carcinoid.  It seems since this procedure my L5-4 pain has increased significantly.  I had an MRI in August 2013 with significant progression of the L5-4 and L5 sitting on the root nerve.  From June to now almost November the pain is unbearable.  Could the change be from the colonoscopy ?
[|AI|]  Hi, Thank you for posting your query. The pain is neurogenic in nature and is related to the nerve compression due to disc prolapse at L4-5 level. The nerve compression can lead to pain in the back as well as radiating pain in the legs. This pan can get worse on exertion, walking, coughing, etc. Colonoscopy is unlikely to have aggravated this disc prolapse. In my opinion, the worsening of symptoms noted after the colonoscopy is coincidental. You would benefit from medications such as pregabalin or gabapentin capsules in relieving pain. If pain persists, please consult a neurosurgeon, who may plan for an epidural injection. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/