Conversation: The conversation between human and AI assistant.
[|Human|] I keep having fluttering in my left flank and some mild intermittent pain......what could be wrong? I am 52yrs old and I take spironolactone bid and bumex 40mg bid and KCL. These drugs I have taken ever since I had a TAH w/ BSO for swelling of only my shins. I have noticed that if I do not take the above meds then I do not urinate very much. Monique Spencer
[|AI|]  Thank you, Monique. Spironolactone is a diuretic the function of which is to increase urine output. It is however a potassium sparing diuretic and technically should not be given with KCL as it will lead to hyperkalemia. Muscle weakness pain and spasms are one of the severe side effects of spironolactone and I strongly advise you to get your electrolyte panel done in the ER.Also, please discuss with your doctor the chance of changing spironolactone with other alternatives if possible