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

### input:
I am an 82 yr old female, basically in good health, other than CLL, beginning osteoperosis. Two years ago, I had a bladder tumor removed and to date, no additional problems show up in check-ups. Right now, I flank pain on my right side; bad enough to keep me awake at night, but not what I d call severe. About 12 years ago, I had a bad reaction to iodine contrast agent which showed up as rash on my abdomen and severe pain in my right kidney. I received benydryl which reduced the pain and within a day or so, all had cleared up. 6 weeks ago, I had a sharp pain in my lower back when I was urinating, but it went away quickly, and md said I may have passed a stone. When I began having a steady ache on right side of my lower back, my urologist scheduled a CAT scan; results showed no problem with kidney or UT etc. That was 2 weeks ago, and I still have the flank pain. My PCP doesn t seem to know which specialist to send me to. Any ideas?

### output:

Hello, I have studied your case with diligence. As per your age and history there can be spine degeneration with disc bulge leading to back pain. Yes you need MRI spine to confirm diagnosis and proper management. At old age there can be degenerative wear of bones, muscles, ligament and facet joint arthritis, due to deficiency of calcium, vitamin D, IT B12.so supplements of these nutrients can relieve pain. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, And also check your it B12 and it D3 level. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care.