Conversation: The conversation between human and AI assistant.
[|Human|] Since beginning of March I have experience severe right flank pain with hematuria. However, though I have a history of kidney stones none appear in kidney or ureter. I have had 4 CT scans and I am about to have my second cystoscopy tomorrow. What if my urologist is unable to make a diagnosis? Will I have to leave in this kind of pain indefinitely? I have done everything I know to help including drinking 3 liters of water a day. I even went to a therapist to make sure it wasn t in my head.
[|AI|]  Hi, Thanks for writing in. Your urologist will certainly make a diagnosis concerning the pain in right flank and hematuria after having a look at your recent CT scan. A CT scan for kidney stones is a detailed investigation and will show stones even 2 mm in size. It is possible that since you have many stones in the kidney, one or two such stones might leave the kidney and travel down the ureters towards the urinary bladder. In this way, the stones can cause bruising of the ureter and then this causes pain and bleeding which is seen as hematuria. You do not have to live with this kind of pain for a long time. The urologist might decide to insert a double J stent which will make the passage of urine clear of any obstruction and then there will not be any trauma to wall of ureters. This will prevent flank pain and hematuria from happening.