<s>[INST] I have Lupus. But lately, Ive been dizzy or light headed, I dont sleep very well anymore and my appetite is not the same. My mom feels what she thinks are bulged disks on my spine and when my back hurts its mostly near my spine. Is this mostly caused by Lupus maybe? [/INST] Good evening. Lupus can cause dizziness. It can affect the brain also which can be a cause for dizziness. You need to consult a rheumatologist to evaluate for the same. If he advises MRI of the brain you should go for it. But the disc bulges are not common in lupus. It is a separate problem which has occurred and the pain due to disc bulges will go away. Consult a physiotherapist for the same. Hope the information was useful </s>