Conversation: The conversation between human and AI assistant.
[|Human|] hi Dr I am Faheem i am a medical student my self also studing in 2nd year... dear doctor i am feeling pain in back of my body mostly on the lateral side below the chest cavity of back in Lumber region... and i have a constipation problem also... i am feeling this pain after sleeping or during sleeping.. i will be thankfull f you dear sir kindly tell me what should i do...
[|AI|]  Hi, Thanks for your query. After going through your query I came to know that you are suffering from simple chronic backache. It may be due to muscle and bone weakness due to lack of exercises, vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule out other causes. You also got your ultrasound of abdomen done to rule out kidney related causes. You also have constipation problems. 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 are advised to take the lot of fibers in diet. 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.