Conversation: The conversation between human and AI assistant.
[|Human|] mum is 77, in constant  backpain cant walk much due to so much pain, spine as been investigated, and nothing can be done,could u recomend a effective pain tablet, she ad lung cancer 5yrs ago is now clear still as pain in lung area as disease also. as took tramadol  4hourly  does not help took did take morfine tablet only helped a little but ad side effects,she does suffer with tummy probs from some tabs.what do u sugest doctor gave her duloxetine 60mg is that for pain, i thought they r antidepressants.
[|AI|]  Hello and welcome to Chat Doctor, The back pain which is not being relieved by ovoids (tramadol, morphine) requires some other means to control the pain.First the cause of pain needs to be found out. Since, your mother had a history of lung cancer, the probability of metastasis to the spine is likely. A bone scan is needed. Bone scan will detect the focus of metastasis in spine, if any. The metastatic focus can be treated by radiotherapy. Duloxetine is an antidepressant. Probably there are features of depression in your mother due to back pain and tummy problems. Thanks and take care. Chat Doctor.