Conversation: The conversation between human and AI assistant.
[|Human|] Hello, My sister has had major pains for over a month and a half. Many ER visits and still no understanding of a reason. Here is the issue: she has major pain that starts from her back. The pain travels to her abdominal region which then also causes pain in her lower abdomen and bladder area. The pain is a shooting pain and also a burning sensation in the back. The pain starts with or without food. After taking Motrin, she feels fine until the medicines effect goes away. We recently discovered that she was vomiting constantly early on a lot due to the pain. If she doesnt take the medicine, she vomits constantly and is in pain. Her test results: UA specific gravity low 1.005, blood large, leukocyte esterase traced, RBC 9 HPF HI. No gallbladder or pancrease issues. No evidence for cardiac arrhythmias. What could it be??? We only suspect kidney stone but cannot figure out what to look for in test that maybe all dr missed.
[|AI|]  Hi, I appreciate your concern for your sister. I also advise you to go in the direction of the kidney stone diagnosis. The pain that starts from back, is shooting in the nature, travels towards abdomen and bladder, and is associated with vomiting is very peculiar indication towards kidney stone. I advise that she should go for urine routine test. That may show discharge of crystals suggesting kidney stone. To be further sure, she should go for USG (Ultrasonogram) stomach. Kidney stones, if present, can be diagnosed and located in USG. Meanwhile, she may take painkillers that suit her to relieve pain. Also, she should Chat Doctor.