Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I have recently been told I have medullary sponge kidney along with rheumatoid arthritis. Because I have been urinating very frequently, my doctor has taken urine samples over the past 4 months. A couple have come back with blood in them, and I noticed that my epithelial cells have gone from few to many. Do you think I should be concerned? Because the bacteria came back as occ, my doctor does not feel I have a urinary tract infection and I have not pain when urinating, but I do have kidney pain quite frequently. Thank you
[|AI|]  Hi, welcome to Chat Doctor. Medullary sponge kidney(MSK) is developmental anomaly of kidney, mostly unilateral. It can affect urine concentrating ability of kidney, so you might have increased frequency of urine. Kidney stone and calcium deposits are common in MSK. That can sometime cause blood in the urine and kidney pain. Sonography would be helpful to rule out that. Urine infection can be confirmed by urine culture. Maintain adequate HY Chat Doctor. Don't get worried. Please feel free to communicate further with your reports. Best wishes. TC.