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

### input:
hi ,almost one year I do have lower back pain that I can not seat more than half an hour and when I want to stand up to stay tall it takes some time and there is another thing may be its related is about 3month ago all of my neck lymph nodes came out and I felt lumpy things along with pain after 2 weeks they gone and transferred to my breast close to my under arm I think it was my under arm lymph nodes I did blood test and ultrasound for my neck and my breast and every thing is ok but still I have a weak pain at the same time when I went to specialist for my lower back pain he said you have mild sacroiliac artritis and today he got my blood test and my bone scan result he reffered me to romatologist when I explained all of these to him he said you have autoimune desease.now my question is do you think all of things(my lower back pain and my lymph nodes)are related together which one is trigger for the other since I have lots of weakness as well.Thank you

### output:

Here for normal individuals who do not have autoimmune disease, back pain and lymph node problem at neck level cannot be related to each other but since you are already diagnosed with autoimmune disease it can be related in your case. As per my suggestion you should visit rheumatoid specialist and take specific guidelines from him for your back pain. You can also visit physiotherapist who will guide you with spinal exercise program which will help you to improve strength, stamina as well as flexibility for your spine. Another problem what you explain hear about your lymph node swelling I suggest if it's increasing then you should take a note on that and visit doctor and take his opinion. You may go for lymph node biopsy to rule out there is no other abnormality other than inflammation. Here you also need to understand what happens with the people who have autoimmune disease. There are various type of autoimmune disease but the common problem with all these patients are the bodies immune system gets activated against the bodies normal cell so that there used to be an inflammation in the body which will create pain and disturbance in normal functioning of bodies system. Usually we have found people who are on anti-inflammatory diet (omega 3) or anti-inflammatory Chat Doctor.  Also doing regular exercise helps to generate certain hormones in body which have healing as well anti-inflammatory effect on body cells. So that also helps with this kind of patients. Take care.