Conversation: The conversation between human and AI assistant.
[|Human|] hello, I never do this but I am at a loss as to what to do my son is now 9yrs old. and he has seen many different specialists. when he was a few months old he stopped breathing unexpectedly and I was able to revive him after a few seconds. when he was almost 2yrs old he started spiking fevers and was found to have a lymph node irregularity with unknown causes. he has had noturia since 5yrd old and at 7yrs old his wbc was elevated with no trace of infection and he was diagnosed with glomerular basement membrane disease and countless visits to the nephrologist and a biopsy. now 9yrs old. he is now suffering from full on incontinence, dysuria, and hematuria. today he complained of left sided pain from his shoulder down to his rib cage with dizziness and weakness and his skin was flushed. apical pulse was in range and bp was in range with no signs of distress aside from the pain. please help I am at a loss as to how I can best help my son.
[|AI|]  Hello.  Welcome to Ask A Doctor.  I have read your query and here is my advice.  Dysuria and hematuria can be due to kidney disease, sexual abuse, urinary tract infection, or bladder stones.  When did your sons' incontinence begin?  Has your son ever been continent of urine?  Is he wet all the time?  Only during the day?  Only at night?  Is he ever Chat Doctor?  ----------------------------------------------------------------------------- Has he injured his left shoulder and chest?  Did he do vigorous exercise prior to onset of the pain?  In addition to a fractured bone other possibilities are a pulled elbow or inflammation of the thin tissue that covers the lungs.  Does he have any nausea or vomiting, abnormal eye movements, or ringing in his ears(which are related to dizziness)?  Is he able to ride his bicycle without difficulty(which is related to weakness)?------------------------------------------------------------------------------ Since his shoulder pain, dizziness, and weakness are so recent in onset, perhaps we can put them aside for the present, see how he does over the next several days, and concentrate on his kidneys.  May I ask, what were symptoms that lead to the diagnosis of kidney disease?  Does a pediatric nephrologist monitor your son?  How often is your child see by the kidney specialist?  Does your son take any medication?  How are his lab studies doing? Complete Blood Count, BUN, and Serum Creatinine.  Should you want a second opinion I recommend that your son be seen by a pediatric nephrologist who sees child