### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am having back pain for some time now nearly two years back i had serious back ache Doctor expected slip disc and asked X-ray x ray revealed Crack (Gap) in D12 I had no history of falling or an accident Doctror asked for Neuclear scanning for hips shoulder and spine and it was declared to have lowe BMD (-2.3 ) Is taking GEM CAL KIT regularly since then some two months back had a similar pain a spine specilist asked for MRI for both cervical and lumbar spine. Though abnormalities are observed they are more age related and both Doctor and radiologist concurred that the crack/gap in D12may be congenital. But doctor is more worried about my beathless ness,walking little I start breathing deep though momentorilly. Pulmonary test was conducted and it is normal for my age 965) they said. I am also a Cradiac patient for last 12 years. Twice had angiography . last was nearly one tear back. Two block 75% and 45%. On regular medication and is not having any problem can pain in back to do any thing with Breathing.? Advised to see cardilogist once again and come back as Spine specialist feels some surgical intervention may be required. Your advise please. Regards.

### output:

Hello understand your complaint. You explain very well the situation. My opinion is that it would be good to see the cardiologist again. If he excluded any heart problem related with the breathlessness the next step is to control more your lungs. For example a chest X-Ray, arterial blood gases and a DCO test with is done with the Spirometer device. If these tests come negative we are sure that breathlessness feeling is caused by back pain.Thank you, Wish, you good health Chat Doctor. 