Conversation: The conversation between human and AI assistant.
[|Human|] I had pneumonia three weeks age and took z-pak continued to have deep painful coughing. 3 days ago went to ER Dx with Bronchospasms using inhaler ,given prednisone 40mg for 5 days(taken 3 days worth) continue to have severe coughing spells. Now having pain(not muscle pain)across my upper back. what should I do.
[|AI|]  Dear patient Pain in upper back may be due to excessive coughing. As per your history you are taking treatment for pneumonia for last 3 weeks and still not resolving you need to consult your chest physician for that also.  Prednisone is known to cause osteoporosis but not in short duration of 3 weeks. I would like to do X-ray of dorsal spine anteroposterior and lateral views to rule out local pathology.  Meanwhile, start tab Dan MR twice a day for pain relief. Local application of diclofenac gel helps in son relief. If X-ray reports is abnormal you need to consult orthopedic surgeon.