My wife suffering from back pain since two months. The pain occurs at some place and continue for acouple of days and moves some other place. It looks like muscular. Particularly in the evenings after 4pm. Subsequently gets fever with heat flashes. A pain killer and paracetamol can help manage. But more with diclofenac. She underwent hepatico jujunastomy in1996 followed bt PTBD in2010. Advised not to use moch pain killers. Her wt.55kg, ht.5 . She is diabetic since 2 years and using glynase mf 1-1and oglibose 0.3mg after food in the night. Her sugar levels ,fbs aron 135 and plbs around 180. Right now she is being managed with amitone 10 and ultrtab when ever pain is there. Gemfos also being used. However we could not find much improvement. Kindly advise.