Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am a 48 yr old woman with a lot of back problems to begin with. But about 2 weeks ago I started getting this severe pain in my back ribcage. I only happens at night. I wake up with agonizing pain that if I turn, breathe deep, or anything. I went to the Dr, and he took X-rays of my back, (which is not where the pain is coming from) and they came back ok. I am getting worse every morning and hope you have any ideas. Oh, no urinary or bowel problems, just the pain. Thank you for anything you can come up with.
[|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 such as diclofenac give relief. Serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. 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.