Sharp pains in back and stomach

Patient : Hi, I have been have sharp pains in my lower back and shoulders, I feel nausea every day and now I am having trouble keeping awake, I am 40 years old, I am booked in to have a full hysto next month as I have been having very bad periods too, I am worried there is more than this as I can't even be bothered getting off the couch, when I am normally very active.
Symptoms:  Nauseous, back pain , very sleepy, low engery
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