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

### input:
I have on three different occasions had pain on the upper left side of my back just a little above my waist that extends to my side and front (or vice versa) that causes vomiting and upset stomach. I have to sit up in the chair to sleep because the pain is so severe that I can t lay down. It s also very painful to get up from a sitting position. Emergency room keeps saying muscle spasms so they giuve me muscle spasm and pain prescriptions and send me home. The occasion have been four months apart starting with Sep 2014

### output:

Hi welcome to ChatDoctorI have gone through your query regarding severe pain in upper back and can understand your concern. If we find out and remove the real cause of our pains, 90% of our problem is solved. It is often caused by poor posture. Upper back pain has become a familiar complaint from people who work at computers most of the day. Often, upper back pain occurs along with neck pain and/or shoulder pain. Often, muscular irritation and upper back pain is due to either deconditioning (lack of strength) or overuse injuries. Muscle strains, sports injuries, auto accidents, or other injuries can all result in pain from muscular irritation. Low immunity due to lack of activity, lack of essential nutrients & hydration and faulty lifestyle are some basic causes for your sufferings. A correct diagnosis of back pain requires diagnostic tests (such as an MRI scan) and correlation with physical symptoms are required to determine the extent of the damage and develop a treatment plan. When you must lift, bend your knees and keep your back straight. Avoid twisting. Keep the load close to your body. Getting Inclusion of balanced diet with essential nutrients and antioxidants in natural form, plenty of fiber raw ginger, garlic , calcium and vitamin D, a spoon of Turmeric powder and 35 ml of Aloe Vera may help prevent osteoporosis, which can lead to compression fractures and back pain. Regular walk, stretching exercise-from head to toe when you are not in pain , yoga, Panama, deep breathing, meditation. All help alley pains and give resistance to body from diseases and gradually help alley pains , will gain healthAvoidance of fried, fast foods , tea coffee, alcohol, smoking over exertion, sleeplessness dehydration, all further help. Take 2-4 doses of Homeopathic ColcChatDoctor 30 / half-hourly to alley pains Hope this helps solves your query. Take care, All the best. Wish Get well soon.Don't hesitate to get back TF have any further query.