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

### input:
Im having severe lower back/hip/buttocks pain. I cant figure witch part it is coming from. It happens most when I am sweeping, vacuuming, cleaning counters, or doing laundry. It brings me to tears everytime it happens. I dont know what is going on, or how to get rid of it. I try to work through the pain, but it has brought me to my knees many times. Please Help Me!

### output:

Hi, thanks for posting the concern in Chat Doctor. A severe low back pain, combined with hip pain, may be due to the following reasons -mechanical back pain Spinal problem, including anatomical abnormality like Schumann disease, lumbar scoliosis lumbar spondylosis Pivoted causes not related to the musculoskeletal system like urogenital infection, enterocolitis, spastic colon may also cause similar pain. Now, considering your isolated symptoms, I think the problem is mostly musculoskeletal and related to faulty posture. A X-ray of LS spine - app, lat view will be first needed along with clinical examination by a consultant orthopedic surgeon. Now, till the diagnosis is done, you can have Tab Paracetamol 650 mg twice daily after meals for pain along with muscle relaxant Tab Bendy 15 once daily at bedtime. Physiotherapy along with local heat therapy may help. Plenty of oral fluid should be taken along with high fiber diet to avoid constipation. Please avoid stooping, carrying heavy weight etc. You may also need an MRI of lumbar spine if clinical examination and X-ray are inconclusive. If you have any other questions, please write back directly to me. I shall be happy to help you out. Wish you a good health. Regards.  Chat Doctor. 