Back pain and chills, tiredness

Patient : I have back pain in the middle of my back and feel unwell, chills, bleeding between periods wondered what is wrong with me ?
Symptoms:  Symptoms today and yesterday - Middle back pain both sides of spine - constant ache, sharp pain when I take a deep breath, tired, shaking hands especially when i woke up today, woke up sweating, went to bed freezing and shivering - heating did not help. feel tired, constipated, thirsty

ongoing symptoms - menstrual bleeding in between periods for last weeks, taking cerazette last 2 months due to very heavy prolonged periods with large clots bright red blood, sometimes watery bright red blood, weak bladder, pain urinating last week, often needing to pee but not passing much urine, chills, constantly feeling cold, tired, loose urine when coughing and sometimes running, often shaking hands, some times tingling in hands and feet, general tiredness.

diagnosed with PCOS, protein c blood deficiency.
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