Conversation: The conversation between human and AI assistant.
[|Human|] Hi, My name is Tammy 54yo. I m having back pain. It s on my right side middle of back. Has been approx 2 weeks, like most people I thought it would go away. I am not an active person and have several medical issues. I m on several medications as well. On 12/29/16 I had diney stones removed, stent placed. 2 weeks later another surgery for a stone they missed. No blood in urine, no cramping. I m just not sure if it could be another stone ( I did not hurt like this the last time) or a kidney infection. Any thoughts?
[|AI|]  Hi Tammy, After going through your history my first step would be rule out a urinary tract infection, Firstly since you've already had stones earlier, secondly that women are generally more prone to get infection of the urinary tract. So I would start off with doing a urinalysis. Also get an X-ray of your lower back. It could be possible that your back pain may be mechanical in nature due to any spasmodic pain of your back muscle, also that in your age many women suffer from osteoporosis as well. But, I would treat you for that only after doing appropriate lab investigations and x-rays.  Thank you.