Back pain. Taking Aceclophenac fom few days. Blood tests normal. Known TypeII diabetic and hypertension. Advice?
Patient: I am 58 years old and under medication for type II diabetes and hypertension. Both are under control. I have been experiencing higher right side back pain for last three weeks for which I took pain killers Aceclophenac 100 mg for around 15 days. The pain is still continuing and recent blood report has revealed normal blood sugar, normal lipid profile, haemogram  but elevated SGOT (46) and SGPT (66). I have been taking rabeprazole and domperidone everyday. Please advise. Doctor: Hello.GOT and GPT levels (indicators of destruction of liver cells) are slightly elevated, that's not worrying.If your back pain has not improved after taking Aceclofenac for 15 days, I think it is necessary changing to another painkiller and to associate some other drug.In my opinion Tramadol 50 mg thrice a day + Diazepam 5mg at night can be taken for treating your back pain.Please consult your local doctor  for a prescription.Only if your back pain does not improve after 4-6 weeks of taking drugs, an radiography would be needed.I wish you good health.(In case the answer would have been useful please indicate this)