Conversation: The conversation between human and AI assistant.
[|Human|] hi. im a 24 year old male with left sided flank discomfort radiating to the groin. it is fairly constant and of about 2 months duration. also i have been getting hiccups in the morning and the occasional feeeling of fullness. my gp thought it was muscluar, i dont. i have intermittant lymph enlargement in the felt side of my neck and had two unexplained rigors 2 weeks apart about two months ago. aside from mild and occasional gastric reflux i have no notable GI symptoms. blood tests a year ago showed slighlt low platelet count, 148. i am otherwise fairly fit, 5 ft 6 inches and 64 KG and my medical history consists of a small hernia repair in the left lower quadrant (groin). i do smoke. your help would be much appreciated. thanks
[|AI|]  HelloThanks for query. Discomfort in left flank radiating down to groin with history of two episodes of fever with rigors can be due to presence of stone in the left kidney and needs to be investigated. Consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis3) C. T scan of Kidney, ureter and bladder (If required). Further treatment will depend upon result of these tests and final diagnosis as regards size of the stone, site of the stone and degree of obstruction (HY Chat Doctor.