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

### input:
My Daughter is in her 40 s and is experiencing chronic pain in the lower back and pelvic area She does have fibroids,but according to her Dr it should not be causing this amount of pain. She had her gall bladder removed last year and has been diagnosed with stage 2 fibrosis of the liver. She has been to the doctor and had tests run but they did not find anything except the fibroids,and also an elevated white blood cell count,which as of today is unexplained. She also had quite a few polyps removed about 4 years ago during a Colonoscopy and was told they were the type that can potentially become cancerous. This has been going on for over 6 weeks and is getting worse. Any suggestions of a specialist that may be able to help? Thank you in advance for your response, YYYY@YYYY

### output:

Hello, At her age of 40, likely cause of pain may be disc degeneration or mechanical back pain due to the instability of the lower spine. She had a history of polyp in the colon which may be cancerous than we need to rule out vertebral metastasis. I would advise an x-ray of the lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. MRI of the lumbosacral spine is needed which is very sensitive and specific for the diagnosis of spine pathology. Both can be done at the radiology center nearby you. Meanwhile, start tablet Attract twice a day for pain relief. Take rest on the hard bed and avoid forward bending and weightlifting. Visit an orthopedic spine specialist with the report is needed. Hope I have answered your query. Let me know if I can assist you further.