Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have primary biliary cirrhosis & L5-S1 disc herniation causing lower back pain, thigh pain, weakness in extending the big toe and in the ankle (foot drop). Numbness and pain on top of the foot. Normal ESR level is 39 outside flare-ups. Suffer with fatigue. ESR went up to 57, a week later 63. Gastro doc says PBC is under control yet GP says it can t be with flare-up syptoms been suffering. GP has written to Gastro but they are not replying. Am worried.
[|AI|]  Hello, I have studied your case and I think that your pain is due to nerve compression in back. For this you need to take Pregabalin M at nighttime and physiotherapy. If this pain continues even after that you might need to consider for surgery. This surgery will consist of removing loose pieces of disc from spine and nerve decompression. As far as ESR is concern it is not a big issue as it can change with many things and not specific for any disease. If theirs is no symptoms then you do not need to be worried about this. Thanks for using Chat Doctor.