Conversation: The conversation between human and AI assistant.
[|Human|] . SIR.MY WIFE  IS 27 YEARS OLD.SHE HAS  ESR 79 IN 1ST HOUR. HER CRP IS NORMAL TLC DLC AND HB  IS NORMAL TSH NORMAL ,ALBUMIN TRACE IN URINE AND PUS CELL (6-7), USG IS NORMAL  CHEST CLEAR DOES NOT HAVE TB OR ANY OTHER PROBLEM BUT HAVE A LITTLE PAIN IN HER LOWER LEFT ABDOMEN AND LOWER LEFT BACK ALSO HAVING FEVER 98-99 F ... PLEASE GIVE YOUR OPINION ABOUT HER CONDITION..
[|AI|]  Hi. Thanks for your query. Hi Your wife is young - 27 years old, the positive findings of ESR of 79 indicates a chronic disorder, can be tuberculosis of the urinary system. Pus cells 6 - 7, pain in the lower left abdomen and back, with low grade fever is indicative of urinary tract infection with or without a stone. I would advise you the following:Ultrasonography of the abdomen. Intravenous paleography. Cyst- ureteroscopy. Urine - Culture for TB / anaerobic bacteria, and culture sensitivity for routine bacteria. -Broad spectrum antibiotics. The further treatment will be dependent on the reports.