Conversation: The conversation between human and AI assistant.
[|Human|] Hello doctor, my wife (age-45, housewife) suffering with back pain for 3 months. (I found her very energetic in past 17 years) Problem- 1. Almost moving back pain. sometimes in the left side and /or right side. But mostly 1-2 inches right to the backbone. 2. feels some object is rolling/moving internally in the area of pain 3. self treated with hot water bottle at the begining. Her Doctor diagonose as oestioporosis and treating with Calcium- 2 tabs daily, Vitamin D3 -weekly 1 sachet, Rentac- 2 times before meals & Ultratram (tramadole + paracetamole)- 2 times daily. doctor advised her to take these medicines regularly. Apart she is advised to continue some excersizes + apply diclofenac cream Kindly advise - as she getting right treatment any side effects from medicine she is continuing for pas 3 months.
[|AI|]  Dear friend, thank you for your consultation. I have gone through your case history very carefully. I sincerely believe she is getting right and adequate amount of treatment for osteoporosis. And as far as side effects are concerned, calcium can cause renal stone in long term use. And regular use of tramadol commonly causes agitation, anxiety, euphoria and constipation.apart from that you don't need to worry that much.my best wishes for your wife. Thank you.