<s>[INST] Sir, I have low back pain since last 1 month. However, it still present, but simultaneously I have upper back pain now. Unfortunately, right side of my skull , just above the ear also suffered from pain. Since last 2-3 days, I am feeling cold ( shivering ). Additionally, there is sensation of vomiting form a week. Here, I am not sure, but feel a slight swelling on the last ribs just above stomach. I have no history of me as well as parental of bone related or spine related problems. This all is making me really very upset. I shall be sincerely thankful to you for your suggestion With kindest regards Amit [/INST] Hello. Thanks for writing to us. The pain in the upper and lower back that you are having might be a muscular pain due to a bad posture. It is not likely to be related to the headache and vomiting. You need to consult an orthopedician for proper treatment. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL  Regards, Dr. Praveen Tayal drtayal72@gmail.com </s>