Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have been having really bad lower back pains, but only on the right side. I was supposed to have started my period about 2 days ago. I don t know if that has anything to do with the cause of the pain. What would you recommend me do about the pain???
[|AI|]  Hello! Thank you for your query, The most common cause of missed menses is pregnancy. First, before you take any medications make sure to rule out pregnancy first if you had any contact with your partner. If you have a regular cycle and this is the first time you missed your period then I advise taking a pregnancy test. Other causes of missed menses include hormonal imbalances and stress. Regarding your low back pain, it may only be a muscular, but if your low back pain is accompanied by fever, difficulty urinating, you may do an urinalysis(urine exam) and Kidney Ureter Bladder ultrasound as these may indicate a kidney problem or urinary tract infection. Also, if there is an accompanied unusual vaginal discharge along with fever it may also be due to a pelvic inflammatory disease problem. Please check with your medical doctor for further assessment and evaluation if the pain continues. Meanwhile, I advise you to put hot water bag on the affected area for 15 minutes 2-3x a day, have plenty of rest and Chat Doctor.  If pregnancy is ruled out, then you can take any pain reliever such as metonymic acid 500 mg 3x a day or ibuprofen 200 mg every 6 hours for pain. I hope this helps, feedback is greatly appreciated. Thank you!