Conversation: The conversation between human and AI assistant.
[|Human|] I have had LP for about 8 months and it is still flaring up. I can t sleep many of nights due to the itching. My medical DR. told me to watch my gluten intake due to having Celiac disease. I m very careful what I eat and haven t had gluten for a while. I also have a lot of pain in my neck and middle back. Could pain be the culprit?
[|AI|]  Hello, The itching could be related to an allergic reaction. But, before coming to this conclusion, I would recommend performing some tests:- Kidney and liver function tests-Complete blood count, PCR, ESR-Uric acid plasma levelsRegarding the pain in the neck and middle back, it could be related to chronic degeneration of the vertebral column or a wrong posture. For this reason, I recommend performing a thoracic and cervical vertebral column X-ray study. Physiotherapy may be helpful! Hope I have answered your question. Let me know if I can assist you further.