The conversation between human and AI assistant.
[|Human|] H has had pain radiating from back around to fron of abdomin , up under arm. trying pt more pain, oxyco & percaset not alleviating shooting pain. Been to Er had catscan, dig. so far, muscle prob. Has had it for about a month getting worse. does he need a mri?Basically putting him down. only releif is on back.
[|AI|]  Dear-thanks for using our service. Your pain has the characteristics of sciatic neuralgia which could be from herniated disc or spinal stenosis, both can press the sciatic nerve and give you these symptoms. MRI is a better test to evaluate the back than CT scan, so if your symptoms don't get better, you should have it done. Sometimes, muscle spasm can pinch the nerve and create a lot of pain, bed rest, muscle relaxants and anti-inflammatories will be helpful. Thanks for using our service Chat Doctor. 
