Conversation: The conversation between human and AI assistant.
[|Human|] i have a lower back pain. i did all x rays and MRI to my back but all is OK and my doctor said all is muscle spasm. This was last year. I am still sufferingfrom that pain with neausea...which exceeds when i do any extra physycal effort. I did a urine test plus culture urine test and the result was that i have E.coli ( colony count 100.000 ). I really would appreciat your kind help
[|AI|]  Hi dear. Any case of acute pain can lead to nausea even headache or toothache. Regarding your back pain, although you did all investigations, muscular pain sometimes is so hard to treat. Moreover I had the couple of patients that checking their calcium and vitamin D revealed vitamin and mineral deficiency also should be considered. For chronic back pain:using NSAIDs and muscle relaxation and corticosteroid plus physiotherapy can help.