<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, I have been experiencing low back weakness, neck stiffness or tightness, ear pain, feeling hot and cold, and excessive growth. What could be the reason?  <response>: Based on your symptoms, it seems like you may be suffering from multiple conditions. However, Presbyacusis could be causing your ear pain and may also contribute to feelings of weakness as well as indicating age-related hearing loss. 