Conversation: The conversation between human and AI assistant.
[|Human|] I have chronic back pain ...ct shows enlarged lymph node near kidney & scheduled for Pet scan.  I had cervical cancer 4 years ago and they suspect malignancy.  Have been taking advil only & doctor wants to put me on oxicodone based medication. What combination is least addictive and damaging. Acetominophine upsets my stomach and I am concerned about effects on my liver.  what about percodan or hydrocodone/ibuprofen
[|AI|]  HI THANKS FOR POSTING YOUR QUERY.YOUR RELEVANT CLINICAL HISTORY POINTS LIKELY TOWARDS A METASTATIC DEPOSIT(DISTANT Tumor SPREAD) AS THE CAUSE OF YOUR SYMPTOMS, PARTICULARLY CHRONIC BACKACHE.IN THE VIEW OF PAST HISTORY OF CANCER CERVIX 4 YEARS AGO, A Tumor SPREAD TO VERTEBRAL COLUMN BONES SHOULD BE SUSPECTED AS A CAUSE OF CHRONIC BACKACHE.SUCH DEPOSITS IN THE Backbone ARE LIABLE FOR PATHOLOGICAL FRACTURES.YOU NOW HAVE A PERFECT INVESTIGATIVE FOLLOW UP IN THE FORM OF CT SCAN AND A SCHEDULED PET SCAN .PET SCAN IS KNOW TO EXHAUSTIVELY DETECT Tumor RECURRENCE.BACK PAIN DUE TO CANCER SHOULD BE MANAGED WITH OPIOID Chat Doctor.