Conversation: The conversation between human and AI assistant.
[|Human|] Hi, for about 2 yrs now i have been having random acute pain in my lower left back. it started with a bad kidney infection and since then has not gone away. its become less frequent but the other day i woke up on my back and when i tried to roll to my side i broke in a sweat it was so painful.i find the sharpest pain when pressed is on my lower ribs. but it extends into my side as well. for a while i explained it as feeling like a softball was in my side rubbing against everything it had no room for. any suggestions. i ve done some research into kidney problems. i have no visibly noticeable blood in my urine and, no uncommon fatigue or shortness of breath. just horrible pain. like i said, its become less frequent. went from daily to now only a couple of times a month, but its taken two yrs to get there and i prefer it just be gone, :)
[|AI|]  Hi, There are many possibilities... My top considerations include kidney stones with or without frank obstruction. Infection of the kidney which can be precipitated by having stones. I do not know your age, but with pain for so long, one must always consider more concerning things like cancer. Maybe the old kidney infection has nothing to do with this new pain. What about an actual back condition or other musculoskeletal diseases like muscle and rib issues. Bottom line, I think you should see your doctor for further evaluation.  2 years is a long time to go with pain but no assessment.  Good luck!