Conversation: The conversation between human and AI assistant.
[|Human|] Hello my name is NelsonMy lower back has gotten wise since I had gotten out of the military. Ive been out for three years now an when I bend over it crackles almost like bubble rap.  When I cough feel a pop on my lower back as well.  I am constantly putting ice on lower back. My question now is what might be happening? The next thing is I black out when I stand from a squatted or bent position.  Is this related to my lower back?
[|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 (DICLOFENAC SLOW RELEASE TABLETS) give relief. If vitamin D is lower than its supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Your black-out when you stand from a squatted or bent position is not related to lower back problem. It is related to postural hypo tension. What is your BP? 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.