Conversation: The conversation between human and AI assistant.
[|Human|] Hi i have this really bad pain in my lower left side of my back ive had it for a month now when i get out of bed it hurts and when i bend over to pick up anything and geting up from a couch im only 27 years old and i did have kidney problems 6years ago and spent three days in the hospital are my kidneys shutting down please help
[|AI|]  Dear patient There are two possibilities 1. Disc prolapse at lumbar spine 2. Renal stone.  Since you have previous kidney problems possibility of renal stone is likely but according to your symptoms' disc prolapse is more likely.  I would advise radiograph of lumbosacral spine anteroposterior and lateral views and MRI of lumbosacral spine. Both would help in confirming and excluding diagnosis and treatment can be planned accordingly. Meanwhile, start tab diclofenac plus thiocolchicoside combination twice a day and tab vitamin B12 plus pregabalin 75 mg at bedtime for pain relief.