Conversation: The conversation between human and AI assistant.
[|Human|] hi i have lower back pain affecting sciatic nerve down butt and back of leg , little pressure below vaginal area and little nausea..stinky discharge cottage cheese and string mucus like discharge but not a lot ...belly tender under belly button...painful menstrual this month with nausea and vomit. .im 47 have had dismonorreah all my life.. can this be BV? been hot out sweaty days..or does this sound like urine infection ? no burning with urine or other seems fine is why i think its vaginal...little redness outside of vagina...ps if so i cannot take flagyl internally had issues with it...what else can be prescribed if i see a physician? email; YYYY@YYYY
[|AI|]  Dear patient it seems you are having many issues that needs to be a Chat Doctor.  First discharge from vagina is due to infection and dysmenorrhoea may be due to many reasons like endometriosis. This needs to be examined by gynecologist and ultrasound of pelvis with microscopic examination of discharge is needed for starting treatment.  Back pain with lower limb radiation may be due to disc prolapse in lumbar area. This needs to be investigated with X-rays of lumbosacral spine anteroposterior and lateral views. Meanwhile, start tab regain x 75 mg one at bedtime. If X-ray report is abnormal please consult orthopedic surgeon nearby your area. Chances of urinary tract infection is less likely.