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

### input:
Hi ive had the feeling im going to throw up for the last 4 weeks been getting slight headaxhes adizzynessm always tired and my lower back really hurts any idea y this could be im not pregnant as had a perioud 3day after i last had sex and ive a child this was nothing like my pregnancy before as people keep sujesting im up the duff

### output:

Hi, thanks for posting your concern in the Chat Doctor. I think the symptoms you have posted needs further evaluation to ruled out urogenital infection including PID, functional back pain coupled with anxiety disorder, mechanical back pain, ectopic pregnancy (less likely), functional bowel disease or IBS. I need further history for detailed evaluation-1. Do you have fever and/or chill and rigor?2. Do you have irregular bowel habit? 3. Have you ever seen blood in your stool or urine?4. Do you have burning sensation during urination and/or increased urgency, frequency, nocturia?5. Do you have any emotional stress at present?6. Does your pain radiate from the back? Secondly, you should consult your local internal medicine doctor at the earliest for further evaluation. You may need the following tests1. Blood for complete blood count, urea, creatinine, electrolytes2. USG. Whole abdomen3. Urine for routine examination and Urine pregnancy test (if USG is not done urgently)4. Stool for routine examination. You should avoid any stress and try relaxation sessions. Maintain good oral HY Chat Doctor. Avoid spices, carbonated beverages, alcohol and tobacco. For any further questions, please write back to me.