Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have a lot of pain in my upper spine . I noticed that I have black and purple spots on my upper back and lower back. It is very painful and sometimes I can not bare the pain. I m 49 years old and I have a history of falling on my back. When I first noticed the purple/blackish mark there was only one of them, but now that same spot has grown bigger and in different places. I need to know what this is. Please get back to me as soon as you can, I d appreciate it.
[|AI|]  Hi, Thank you for posting your query. The exact diagnosis is possible only after a careful clinical examination. The black/purple spots on your back may be related to the injury due to fall, which could result in a hematoma. They could be unrelated to the fall too, such as skin lesions (Melanesia, etc.). Please get them checked by your GP. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/