Conversation: The conversation between human and AI assistant.
[|Human|] Hi I fell down my porch stairs the other day. I get sharp pains in my lower left back side if I move the wrong way or walk the wrong way. I have a cold and when I cough I get a shooting pain. There is no bruising on my back. I have been hesitant to go to the doctors because I am in the process of having an IUI to get pregnant and am on Gonal F. Any idea what the sharp pain could be from? And if I go to the doctors any meds they can give me that won t interrupt my process of getting pregnant? Thank you so much!
[|AI|]  Dear patient Sharp shooting pain which is aggravated on coughing and sneezing indicates disc prolapse with nerve root compression. This might have occurred due to trauma.  This needs to be investigated with MRI of lumbosacral spine anteroposterior and lateral views to confirm diagnosis. Since you are taking treatment for infertility much Chat Doctor.  You need to consult expert orthopedic surgeon nearby you and get yourself examined. Meanwhile, take rest for few days. Do hot water fomentation and take tab paracetamol 500 mg thrice a day. All the best.