Conversation: The conversation between human and AI assistant.
[|Human|] Hi Im a 30 year old woman who is suffering from lower dull back pain that resembles pain suggestive of a UTI. The thing is Ive been tested and everything came back negative. What esle would cause that. Another symptom associated with it is a very strong ammonia discharge.
[|AI|]  Dear patient At you age this symptoms might be due to pelvic inflammatory disease or its muscular pain. Pelvic inflammatory disease is a condition in which there is inflammation of pelvic genital organs which leads lower back pain and mild lower abdominal pain with symptoms of UTI. You need to be investigated with 1. Ultrasound of abdomen 2. X-ray of lumbosacral spine anteroposterior and lateral views to confirm diagnosis.  Need to consult expert gynecologist with report.