Conversation: The conversation between human and AI assistant.
[|Human|] I am having urinary frequency, urgency, pelivic pressure, a few black specks in my urine. No flank pain, however a hx of kidney stones several times in which prior to the last episode of kidney stones I required Lithotripsy in which the Urologist had a very difficult time crushing the stone because it was so dense. I have also had approx 8-10 UA s done since May and all come back negative for a UTI , however are indicating microscopic blood in the urine. Don t know what to do. Please advise. Thank you, Michelle RN
[|AI|]  Hi Michelle, You have Kidney stones disease. The symptoms you are having could be due to stone pieces coming out with urine & irritating the urinary bladder during their passage causing these symptoms. First thing I would like to advise you will be to get urine biochemical profile involving uric acid, phosphorus,calcium, oxalate,bicarb. Secondly, Usg PUB & X-ray abdomen to look for present stone load &/or its complications. Meanwhile, maintain 3-3.5 liters of fluid intake, avoid bakery products, carbonated Chat Doctor. You may try some urinary tract antispasmodics in case it is very symtomaticBest of luck