Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am a 3 year breast cancer survivor. This past October, I started to have vague right hip pain, which has gotten worse. February of this year, I had a nuclear medicine whole body bone scan done. The results came back as degenerative changes in the left and right hip, but more prevalent in the right hip. It was recommended that I repeat the bone scan, which I did on June 3, 2014. The results came back showing that the same affects were happening not only in my hips and pelvis (right hip more prevalent) but also in both of my shoulders ( right shoulder more prevalent) and the front part of my skull had thickened also. I was told that my scan was fine and no changes had occurred and to repeat the scan in six months. I found this to be questionable, simply because there was an obvious change within the three months. Both scans were done to rule out metastatic disease. Radiotracer activity in the second scan was noted in places that did not show up on the first scan. I want to know; do I have anything to worry about and should I get a second opinion. My right hip bone and joint have been hurting constantly, mostly at night. My lumpectomy was on the right breast and I hurt there constantly also. Sometimes the pain is so bad, it feels like it is piercing through the back of my shoulder. Could I have early signs of bone cancer?
[|AI|]  Your age please? The changes in your serial bone scans seem to be age related. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or other metabolic disorder. Any way it may be tried,--.  Looking Plus (Mankind) [Diclofenac 100 mg +Paracetamol 350 mg] 1 tab.  OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water. Avoid direct flow of AC or Cooler.--. Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.--. Do mild exercises for All joints. --.(Take help of a physiotherapist or visit WWW. Chat Doctor. Com). --. Use no pillow under the head. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again.  Kindly make sure, there is no allergy to any of these medicines. (Contact your family doctor, if needed). For emergency treatment visit the nearest hospital. I hope I have answered your question to your satisfaction. Kindly rate the answer. Wish you a quick recovery & good health.