Conversation: The conversation between human and AI assistant.
[|Human|] Hi, my name is Wajab. I am 38 years old about 5" 10 & I weigh about 13 stones. My health is ok apart from I have had  lower back pain for a couple of years which goes up the left side of my spine into my shoulder to my neck. My hearing has become muffled. I have have a mri scan done on my head & I have been given the all clear by the ENT specialist. I have also had exray done on my spine & neck, the results were negative. Please can you help.
[|AI|]  Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care.