Conversation: The conversation between human and AI assistant.
[|Human|] I have a healthy, active, 13 year old daughter, 52, 103 lbs, who has recently began to complain of lower back pain and increased fatigue.  She woke this moring with 3 small brusies the lumbar area and increased pain without relief from ibuprofen 400mg.  She has not fallen or injured herself in any way.  The back pain has been an issue for a little over a week.  No fever, nauea,voimitng, or pain anywhere else.
[|AI|]  Hello, Welcome at Chat Doctor. I am more concerned about these symptoms of your daughter. There can be some infection at back or a generalized condition like viral infection which is leading to these symptoms. Presence of bruises can be due immune reaction caused by infection from viruses. I will advise you to consult to your pediatric doctor & get her evaluated by having blood examination & x-rays. Hope this will help you. With best wishes.