Conversation: The conversation between human and AI assistant.
[|Human|] I have continued right flank pain, had pyelonephritis Dec 3 - 10, then passed kidney stones Dec. 17th. The pain in on going and doesn t seem to get better. it is somewhat relieved with pain medication . It is definitely MUCH worse between the hours of 1 am - 9am and I need to urinate at a minimum - 1 time per hour if not more during those hours and very little comes out. I just had more blood work and a CT scan with contrast this week. Don t have results back yet. I am tired of this pain and worry. I have a history of recurring pyelonephritis, usually twice per year my entire life. Right kidney functions 30%, left functions 70% - as of 15 years ago. Any input you can provide would be greatly appreciated.
[|AI|]  Welcome to Chat Doctor! Your reports are needed. Chronic infection can be due to DM, so check your Blood Sugar Level. Also do Renal Function Tests fresh, Serum Uric Acid levels, Sr. calcium & Sr. PTH. A urine culture & sensitivity report is needed. A fresh DTPA renal scan genogram should be done & cause for reduced renal function (specifically Right sided) needs to be sorted out with further investigations. You haven't mentioned your age. Till then, with your Urologists opinion, you may take antispasmodics, analgesics, solifenacin, migraine, diuretics (if required). Do Uroflowmetry, USG PUB - look for post void residue. Wish you a speedy recovery. Take care. Regards.