Conversation: The conversation between human and AI assistant.
[|Human|] a couple weeks ago i got severe abdominal pain that felt like a contraction that never went away for 3 days straight and during those three days i felt pressure on my stomach whenever i had to use the washroom, i urinated frequently, i had and still have back pains and sharp pains in my stomach and all over my body, i was and still am very weak i cant even open my sons bottles and now every time i stand up i feel like im going to faint, i am moody and i yell at everyone and cry at everything , i went to the clinic and they found blood in my urine but i wasnt pregnant or didnt have an infection, as of yesterday i have had a pain in my neck and shoulder i cant even move my head a certian way and today it is still killing me , i am also still feeling faint every time i get up and i also missed a period but then got it for 3 days a month later what do you think all of this could be?
[|AI|]  Hi. Thanks for your query. The history of pain in abdomen with pressure on stomach on using washroom, frequency of urination, back pains, sharp pains in the abdomen and body pains is suggestive of a severe urinary tract infection along with possible secondary changes. Urine is showing blood in the urine indicating the severity of the infection and chance of severe cystitis or pyelonephritis. The fainting and weakness are secondary to the infection. I would advise you the following:First send the sample of urine for culture and sensitivity before the antibiotic is started to get an appropriate result. Get all the relevant tests of blood for WBC, urea, creatinine, sugar and so on. Ultrasonography is the single most important investigations to tell us the changes in the urinary tract so that further treatment can be planned. Intravenous paleography may be needed as is the cystourethroscopy. Get started with proper antibiotic for 3 weeks / till get alright. Urinary alkalizer with water thrice daily. Increase the intake of oral fluids till you can tolerate., Further treatment as per the findings on clinical and lab evidence. If surgical cause is found, get operated.