<s>[INST] I Started going to a doctor about 1 year ago and told her I was having horrible back pain.. she suggested I get a gastric bypass and a breast reduction. I was very happy with that. my insurance is Medicaid so there are certain loop holes you have to jump through to get Medicaid to pay for this. suck as doing physical therapy ect.. I was fine with that.. She also Put me on a pain pill called hydro codone medication I could take it up to 3 times a day.. To my surprise with taking the medication I was able to walk a lot more, I could exercise and actually live life with out pain. In 6 months time after being on them I lost 50 lbs. I was so happy!!! Then I moved and started going to a new doctor assuming it wouldn t matter what doctor I went to they would still do the same thing. They didn t they took me off my medicine. im gaining weight back and im in a lot of pain again.. the knew doctor wants me to get a breast reduction but not the gastric bypass, I don t know why.. Im 300lbs.. im miserable. [/INST] Dear patient you have described your medical history in detail but nothing about your back pain. What is your age and profession? Have you suffered any trauma? If you are of middle age suffering from back pain and no trauma kindly get yourself investigated for radiograph of lumbosacral spine anteroposterior and lateral views. I would advise diclofenac plus thiocolchicoside combination twice a day for pain relief. Take antacid 40 mg twice a day. Start back strengthening and back extension exercise. Practicing yoga will be a good long term solution. If you were benefiting from previous doctors treatment then why you changed the doctor? </s>