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

### input:
I had a hysterectomy a little over a year ago.  I recently found out I have 4 bulging discs in my Lumber and 2 torn, one below my L3 and one below the L5.  About 5 days ago, I was doing assault tactics and climbing a 50ft rope.  I got 2 pulls up and had to let go.  My back is completely in pain (for the obvious said reasons).  However 2 days ago, I started having waves of nausea, headaches (I do have chronic migraines and I took 5mg of Maxalt for relief with none) and random sweats.  I have to lay down every so often so I do not actually vomit.  I can eat, but very little.  I refuse to go to the ER to treatment as I will sit for hours before treated for what I can assume they will call simple dehydration (just as all military doctors do).  If tht is really the case I do not mind, but I would really like to hear another opinion.

### output:

Hello, Thanks for writing to us, According to your history it looks like there is muscle sprain in your lumbar muscle due to your activity. It also has aggravated due to lumbar disc bulge. You may need muscle relaxant with analgesic, and neurotrophic medicine. Lumbar corset and hot fomentation will give faster relief. Physiotherapy like USG and SWD will give quick relief. If all conservative management fails then operative decompression can be considered. For your migraine particular medicine like amitriptyline, beta blocker, trip tans will give quick relief, you need to consult your doctor for this and start medication as per your severity. I hope that I have answered your query. Let me know if I can help you further. Take care