Conversation: The conversation between human and AI assistant.
[|Human|] Hi, aye have been having joint pains and smelling urine for over two years, aye was told from my doctor that aye have fibromyalgi. Also have had 15 courses of antibiotics for uti and kidney infection but just keep coming back so was put on low doses off antibiotics every day but still was getting back pain and infection. Now getting swollen joint in my thumb can you please help
[|AI|]  Dear-thanks for using our system, I read your question with care and will try to help you with my advice. First, you need a complete evaluation of your urinary track, including a renal ultrasound, urinalysis and urine culture to find out if you have a resistant bacteria, kidney stone or cyst that makes you more prone to infection. Joint pains could be fibromyalgia, and you should see a rheumatologist for further treatment. The back pain is most likely from recurrent urinary infection but other possibilities as herniated disc or spinal stenosis should be considered. The swollen joint could be an isolated finding vs an acute tendinitis. I hope that my advice has been helpful. Chat Doctor.