<s>[INST] For the last 6 months I have been experiencing a dull lower back pain and my hair is coming out in handfuls. My hair is all over everything. It doesnt matter if in shampooing, or brushing my hair throughout the day I can run my hands through my hair and handfuls fall out. My back pain feels dull and achey all of the time. Some days worse than others. I was not concerned at first but now that the pain will not go away and my hair is tremendously thinner I am very worried. What could it be? [/INST] Hello, Its apparent from your description that you have got a degenerative disease of spine. . Basically you should undergo an MRI of your spine which will give you an idea whether the likely compression is treatable with surgery or not. You can start pregame, a molecule which will reduce your pain. Do consult a physiotherapist who would like to advise you some back exercises and do, do them regularly. Hair fall may be due over stress, you may need to start relaxation technique. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. Wish you good health, </s>