<s>[INST] I have been having lower back pains for the past year or so coupled with a lot of gas in my stomach. I have seen my doctor for a kidney infection and was treated. But the symptoms remain. I have no history of lumbar injury. I am 57 yrs old an in generally good health. I was prescribed Zerodol 100mg and Cipro 500mg for the infection and they seem to work but the lower back pain lingers. I have noticed that the pain is especially discomforting between midnight and 7am.  thanks for your advice. [/INST] Hello dear,The symptoms are attributed to increased gas formation secondary to excess acid secretion in stomach.Presenting with such symptoms, I usually treat my patients with:1. Tablet Pantoprazole 20 mg twice daily (to be taken half an hour before food)2. Anti spasmodics like Dicyclomine preparation twice daily (to be taken after food)3. Application of analgesic+muscle relaxant gel.4. Take soft, plain, non-spicy foods.5. Drink lots of fluid to maintain adequate hydration.6. Physiotherapy exerciseIf symptoms still persist, it will be better to consult an Orthopedician & get a proper physical examination done.Investigations like complete blood count & MRI of lumbosacral spine will be helpful in detecting any pathological cause for the symptoms.Take care. </s>