Conversation: The conversation between human and AI assistant.
[|Human|] Hello doctor, I am Simi, 30 years old. I am 5.4" tall and weigh 67kgs. I am  a spondyloarthritis patient. Recently I hadd my urine test done whihc revealed WBC-10-12/hpf, RBC 30-35/hpf, Blood ++, Leukocytes +. Doctor, what does this report state. I feel very tired all the time. I also get abdomen and back pain at times. When I get these pain, I find white discharge along with some blood. I have copper-t inserted. Thank you.
[|AI|]  Hello! Welcome to Chat Doctor. Blood & leukocytes in urine indicate urinary tract infection. As you have mentioned abdominal & back pain, there can be a stone causing this and acting as sides for infection. Stone in ureter causes obstruction to urine outflow, smooth muscles in ureter contract excessively to overcome this obstruction & so is the pain. Ca-oxalate stones are quite common & these stones have spikes on their surface. These spikes cause mucosal trauma in urinary tract producing blood in urine. To such patients in my clinic, I advise ultrasound abdomen & pelvis, X-ray PUB, renal function tests, CBC, urine routine & BSL. Treatment is done accordingly. For temporary pain relief, smooth muscle relaxants like Chat Doctor. .diclofenac, tamsulosin are prescribed. Hope this helps. Wish you speedy recovery. Thanks. Regards.