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

### input:
I HAD GASTRIC BYPASS WITH AN EXTENSIVE HERNIA REPAIR THAT TOOK 9 HOURS DUE TO SCAR TISSUE. tHIS WAS 10 DAYS AGO. I WAS DOING GREAT, STILL MOSTLY ON CLEAR LIQUIDS WITH PROTEIN SHAKES. STARTING YESTERDAY MORNING, I GOT A DULL ACHE IN MY LOWER BACK, RIGHT SIDE...AND AROUND TO THE FRONT ON SAME SIDE. SEVERE WITH COUGHING, LAUGHING, BREATHING IN DEEP, ETC. TODAY IT IS SIGNIFICANTLY WORSE. I AM PASSING GAS, NO NAUSEA OR VOMITTING. MY URINE IS CLEAR WITH A SLIGHT ODOR BUT I WAS TOLD THIS MIGHT BE A SIDE EFFECT OF GASTRIC BYPASS. I HAVE HOT FLASHES AND SWEATING, BUT NO FEVER OR CHILLS. ANY SUGGESTIONS. I AM NOT TAKING ANY PAIN MEDS EXCEPT CHILDRENS LIQUID TYLENOL.

### output:

Dear patient Your back pain seems not related to gastric bypass surgery. Since this surgery is done under general anesthesia needles are not inserted in back and pain will not be there in back. Pain in your back is due to muscular backache. If it is radiating to front possibility of renal stone is also there. I would advise X-ray of lumbosacral spine anteroposterior and lateral views.  This will rule out back pathology and stone can also be diagnosed on X-ray. Please get this done from radiology center nearby you. Meanwhile, start tab moral 4 mg twice a day with tab attract twice a day. If X-ray report is abnormal u need to consult orthopedic surgeon nearby your area.