Conversation: The conversation between human and AI assistant.
[|Human|] my aunt  62 yrs old has been suffering from RA since child hood. she is diabetic as well as hypertensive. off late she has been epileptic too. around a month back she developed acute lower back pain which is uncontrollable had to get her hospitalised the doctor advertised her to take R3 plus, ubicare
[|AI|]  HiT hank you for asking ChatDoctorI have gone through your query. Considering your age and rheumatoid arthritis the reason of your back pain can be due to degenerative process in lumbosacral spine or sacroiliac joint arthritis. X-ray of lumbosacral spine is necessary to rule out such conditions. Sacroiliac joint arthritis can be diagnosed by injecting local corticosteroid in the region. Pain relief will be there if positive. I usually advice in my patients with such condition with vitamin d3, muscle relaxants like cyclobenzaprine, and NSAIDs. I also send them to physiotherapy and muscle strengthening exercises along with this. Hope this may help you. Let me know if you have any further queries.