Conversation: The conversation between human and AI assistant.
[|Human|] Hi, i had a blood test 18mths ago and my kidney function was at 60%, lately i have been experiencing back pain especially at night where my kidneys are, this keeps me awake. It is there during the day as well. I also get more headaches than usual, this could be stress of not having a job as well. My urine has changed from a straw color to a sometimes dark but not strong color red, but more often than not its a darkish brown tint. I have increased my water intake to almost 2lt a day to see if this would help at all. appears to be little change. It may be nothing but then again it may not
[|AI|]  Hi and thanks for the query, What you describe clearly indicates it would be very appropriate for you to have a good follow up with a kidney specialist (nephrologist). It would be very important first to know if you have been previously been diagnosed as hypertensive or as being diabetic. This is important because this could explain to a very large extent the headaches experienced and loss of kidney function. A clinical evaluation, coupled with urine testing, serum electrolytes and an abdominal ultrasound for a start could be very important for the nephrologist. A urine cast and cytology and serum creatinine and protein levels with an urinalysis are baseline exams of utmost importance in your care. Determining the actual functioning state of your kidneys, any comorbid conditions that could compromise their function are key aspects in orienting and adapting management. I strongly suggest you book an appointment with the nephrologist for further management. Thanks and best regards, Luchuo, MD.