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

### input:
i was having lower back which started in early novembr2013.around 1 week i got fever with chill at 3 o` clock.i went 4 diagnosis nothing came and it went by night and next morning i was ok. Since tat day in every 10 days and aftr tat every 4 to 6 days fever come whenevr i go to journy by bus on bad indian road which make my body to get many jerks, sudenly i wl get severe back pain from lumbr to thorasic portion and fever come by 2 pm and it wl reach til 102 f and next day i wl b fine. It went on til nw. Now i was diagnosed as vivax.kidney test was normal. Plz tel me whethr pain in back and fever always in aftrnoon are  due to plas.vivay infection.

### output:

Hi and thank you so much for this buyback pain is not caused by Viva infection, It is most likely a coincidence that both happened at the same time, but viva does not justify why you have back pain. I will suggest that you get evaluated solely for the possible causes of back pain which may be related to the muscles, vertebrae or spinal cord. Constantly attributing it to this malaria infection would shut the door to investigating other possible cause. Have you done at least and X-ray for this? Please talk to your doctors. For Now, you may want to try some pain medications like Tylenol and Ibuprofen if you have ever taken the before and are safe to you. I hope this ad Chat Doctor.  Thank you so much for patronizing our services, and please do feel free to ask for follow-up clarifications and information if need be. I wish you the best of health.