Conversation: The conversation between human and AI assistant.
[|Human|] Hi, My name is Keitha. I am 150mg of Pristiq and feel it is not helping me. I am 71years of age and have a Husbane with Alzheimers and a Daughter with Bi Polar. Should I be so impatient and angry in the afternoons and exhausted. I have an Inmune System Disease and Chronic Back Problems. Am I expecting too much of myself or am I feeling sorry for myself. Thanks for your help
[|AI|]  Dear Keith.I am very sorry for your problems. You have chronic back pain. In your age group it is mainly because of osteoporosis. That is weakness of bone with decreased mineralization. It is sometimes associated with small fractures of vertebral bodies. That is very painful situation.apart from that their may be some muscle weakness or spasm. Few more serious conditions such as multiple myeloma etc. can cause back pain in your age group. You need a complete work up for all those. Osteoporosis can b treated with high dose of calcium with vitamin D supplements. You can increase the dose of your painkiller if u don't have any kidney or liver disease. Physiotherapy will also be helpful in this case. But if it is something serious you need complete work up to rule out those. Hope this will help.