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

### input:
I HAVE BEEN TO MY DOCTOR AND A AND E , HAD ULTRA SOUND TESTS AND MRI TO SEE WHAT IS CAUSING THE PAIN IN MY LOWER BACK AND GROIN I HAVE HAD A HYSTERECTOMY 1989 AGED 34, FOR UTURINE CANCER. I HAVE GOTTEN ALL CLEAR FOR THE RECENT TESTS EVEN BLOODS ARE CLEAR BUT IM IN SO MUCH PAIN IM NOT CONVINCED THAT I AM NOT OK. PAIN WAKES ME FROM MY SLEEP EVEN AFTER TAKING PAIN RELIEF AND STILNOCHT SLEEPING PILLS. IM VERY LOW AT MOMENT AS I FEEL SOMETHING IS BEING OVER LOOKED . ADVICE PLEASE , THANK YOU FOR YOUR TIME. MY LIVER FUNCTION FINE,

### output:

Thanks for consultation. I understood that you are worrying a lot about your back pain.and also doubt about recurrence of Cancer as you suffered earlier. I understood your anxiety.... I will let you know some facts about back pain so that you can do better .there are many causes for back pain. But majority are due to mechanical problems like improper working position. Excessive forward bending activities like lifting weights.and age related decorative changes...only a few cases of back pain needs for attention and investigation.like as in your case cancer. But even then you had cancer 20 years back. Asymptomatic for such a long time. Its unlikely due to cancer.more over your MRI shows normal finding. Further reducing the chances.so no need to worry at all ... please. Send yours occupation details.your working position. I will suggest you further...thank you