Conversation: The conversation between human and AI assistant.
[|Human|] i am 33 years old and have been having back pain for about 2 years now, this pain is very strange and i know it cant be muscle pain as in the past i have pulled a muscle in my upper back. This pain is only cause from touch, like if someone was to poke me in certain places in my back it makes me almost scream in pain. i do get an ache in my lower back on both sides but kidneys have been checked and they are both fine....im far to young for this! (oh and i have severe GERD)
[|AI|]  HiT hank you for asking Chat Doctor. I have gone through your query. You should have a thorough physical examination with an orthopedic to rule out the cause of pain. It can be related to spine or muscle strain and spasm. If there is no such cause of pain then it is most likely due to fibromyalgia. Muscle relaxants like cyclobenzaprine, NSAIDs like nimusulide and physiotherapy should be tried initially and if not working then antidepressants like amitriptyline will be helpful. Hope this may help you. Let me know if anything is not clear. Thanks.