Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor , I reside in Pakistan , my age is 56, Male, I had stone it dignose in my left kidney 9 years ago, then I had faced Litheotripsy and 90% of my stone remove through urien, before that every second or third day I got untolrateable pain and get pain killer injection by some emergency clanic, but since the major part of stone removed I naver face any kind of pain, but last month I go for ultrasound and it found that again the stone develop , and due to infection I m suffering high blood pressure , sawing on my face and under eyes, hemoglobin is +, WBC-4.8HPF, RBC-10-12/HPF, pls advise
[|AI|]  Welcome to Chat Doctor There could be associated kidney damage which is why you have high blood pressure and swelling under eyes and blood, WBC in urine. You need antibiotics. Take enough water, restrict salt in diet. The stone develops due to infection which is not treated. Eat plenty of fresh fruits and vegetables. You can Chat Doctor.  You need to get other stone removed as well depending on size. As of now you need kidney function tests, DMS scan and antibiotics steroids for your kidney infection. Avoid as much painkillers like NSAIDs, use Paracetamol for pain as long as you do not have liver problem.