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

### input:
Hi, Im a 45 year old female. I had a partial hysterectomy 12 years ago. In the last year I have had bad lower back aches and cramps. In the last 3 months the cramps and backache has gotten so bad for about 5-8 days a month that I cannot function. I throw up from the pain. Im also very moody and withdrawn on these days. My boyfriend is ready to leave me. My children think Im crazy and to be honest with you.... Im afraid of the 24-25 of the month. last week I cried and slept for 4 days and even thought horrible thoughts about myself. My mind gets foggy. I dont eat. Im so upset about everything and nothing. My back will hurt so, so bad that It makes me sick. my head will hurt also and not just a head ache... a BAD headache. I dont know what is wrong... When my back hurts, my feet will freeze. I cannot get them warm. Tylenol and Advil do not even begin to touch it. It just seems like that time of the month is starting to change me... LITERALLYI just had my annual exam about 6 months ago and everything was fine. But I changed jobs in the summer and was very stressed. about 3 months ago I went to the Dr. for these crying spells that were out of control. ( Looking back I realized it was the same week of the month). Something horrible is going on in my body. It is going to cause me to loose everything, including my new job if I dont figure it out. Can you help me?

### output:

Hi, From the symptoms you are telling, problem is in your lower vertebra(Lower Back). These symptoms usually arise from disc prolapse or compression and usually occur in old age. For the pain you have to take Pregabalin and It B12 injections you should start sleeping on hard surface. But if you have come to me, I should have advised you to go for MRI Lumber spine. Because it will show level of nerve compression if any. Once there is compression of nerve to level 1 and 2,you have to start physiotherapy along with symptomatic treatment and if its level 3 then treatment of choice will be surgery. Do consider positive feedback as a credit to my work Let me know if you have any further questions.