Conversation: The conversation between human and AI assistant.
[|Human|] For the second night I have woken up with pain in my lower to mid back which gets intense after 5 minutes. I need to apply hot water bottle to the area to ease the pain and take ibruprofen. Back is fine duri g the day but I am women up with it.  Stomach also feels tender.  Had a Gladstone attack recently upper right abdomen a month ago but now pain has moved to lower mid back
[|AI|]  Welcome to Chat Doctor The lower back pain is origination from the vertebral column at the level of lumber or sacral vertebrae which is due to disc problem mostly due to degenerative changes which causes compression on the spinal cord and results in the pain along the distribution of the nerves which often affects one or both of the limbs. A visit to neurologist is recommended. You can use diclofenac sodium for pain relief which is on the counter available Chat Doctor.  ThanksRegards