Conversation: The conversation between human and AI assistant.
[|Human|] my boyfriend has been having lower back pain and the pain also goes to his left leg and he has discomfort ..., a feeling of swealling in his stomach near the nabil-bellybutton. he has trouble peeing somtimes and going to the bathroom . it gets very painfull and only hurts when he walks around or standing . he has been seen by many doctors and once addmitted in the hospital. they don t know whats wrong with him . they just give him painpills and he don t won t to have to live on pain pills all his life . he wants to know what is wrong with him . he is 35 years old and its been happing to him every year around this time . he is latin and his home town is in mexico.
[|AI|]  Cannot say in his case specifically unless directly examined. Then, I would pull his leg straight out to see if it caused the pain to go out from the back and down the leg (path of the sciatic nerve). Then, would strongly suspect sciatica and order an MRI of the back. A disk in the back hitting nerves or the spine typically causes those symptoms. Would not be a reason for surgery UNLESS there is nerve damage signs (LIKE NOT BEING ABLE TO GO TO THE BATHROOM). So, MRI and possibly back surgery might be indicated in back pain going down leg and with a neurological problem like not being able to go to the bathroom.