Conversation: The conversation between human and AI assistant.
[|Human|] I am 24 years old, I went into hospital 2 weeks ago and was diagnosed with PID and severe kidney Infection . I was on morphine and tramadol because the pain was so bad and anti biotics. They have sent me home but the pain is still bAd. My GP has prescribed me oramorph to take with tramadol 4x a day but it makes me feel sicker and more tired than I already do and the tramadol isnt touching it. Could I ask for a similar alternative that I don t have to take as often?
[|AI|]  Hi young one. My sympathies with you. Pain from kidneys can be quite bad and difficult to control. If the pain is not settling, I would be keen to rule out persisting infection in the kidneys first. I usually give a longer course (at least 2 weeks) of antibiotic if the kidneys are involved with infection (we call it pyelonephritis). If the infection is limited to the urinary bladder you may not need such a long course. So, most importantly contact your nephrologist/ urologist and ensure they have ruled out persisting infection. In regard to pain medication, I strongly recommend you take 1 (one) gram Paracetamol every 6 hours along with either tramadol or morphine (not both together). Take regular anti-emetics (e.g.: perform 10 mg TDS) as well. Both kidney infection and the painkillers can cause nausea and vomiting separately. Hope this helps. Regards