Back pain increased with alcoholic consumption

  I have a new friend who complains of back pain on both sides of his spine.  He claims the pain is greater when he consumes alcohol.  He also has stated that he gains weight from drinking.  I have only known this person for a short time.  He refuses to seek medical help.  Could this be caused by cirrhosis or hepatitis?  If so, is there any medication that would help this or is diet control the only possible relief?
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Dear Sandra,
There are a number of causes of back pain.  Disc disease and sore muscles are two common etiologies.  Your friend