Conversation: The conversation between human and AI assistant.
[|Human|] Ive been having sudden, sharp lower pain in the right side of my back for the past few days. A few mornings my urine has had a very pungent smell to it. The pain does not stay for a long time and does not seem to get any worse when I move around or do any specific activity.
[|AI|]  Hi, thanks for posting your concern in the Chat Doctor. Considering your current symptoms, I think that the following conditions should be ruled out.1. Urinary tract infection2. Pelvic inflammatory disease3. Mechanical back pain4. Reticular pain from prolapsed intervertebral disease5. Sciatica6. Renal pathology7. Liver disease should have the following Investigations done-1. Complete blood count, urea, creatinine, uric acid, LFT.2. Urine for routine examination3. X-ray LS Spinal/lat4. USG whole abdomen the time being my recommendations are-Tab Paracetamol 650 mg SOS for pain relief (min. 6 hr interval between 2 doses are needed)Plenty of oral fluid, preferably 3 lit/day. Avoid high protein diet, alcohol, carbonated beverages, spicesAvoid prolonged sitting or carrying heavy weight. Abdominal muscle strengthening exercise should be performed. Avoid unprotected intercourse. You should also consult a local physician for clinical examination and further management, or you can write back to me directly after having the reports. Sometimes bowel problem may produce similar back pain. If you have irregular bowel habit, history of recurrent diarrhea, or altered bowel habit, you should have a stool routine examination done too. For any further questions, please write back to me directly.