Conversation: The conversation between human and AI assistant.
[|Human|] my son is 20 years old and has had numerous kidney stones all between 1-2 ml since the age of 12. He is a junior in college and it seems the older he gets the more frequent they come. It makes it very difficult to contend with while maintaining 18 college credit hours and work. He passed two stones last week and saw a new urologist this past friday. He has been in the infirmary twice this week and still has a lot of blood in his urine and is still in a lot of pain and is very nauseasiated. The urologist did an xray but didn t see any stones. The presence of blood in his urine was prevalent. He ended up at the infirmary two days later with a temp of 101.6. They did a urine culture but we haven t gotten the results back. They also gave him two IV s of fluids and put him on vicodin and Cipro. That was three days ago and there is still no change. What should we do next? Frustrated.
[|AI|]  Hi, I am Chat Doctor. I can well imagine your frustration because of your sons condition. I shall try to help you. In my opinion treatment you described is ok in addition you should give him plenty of fluids 2-3 liters per day, if his stone analysis has not been done, yet it should be done now when he passes stone in the urine. I advise my patients who are recurrent stone formers to get their metabolic workup done so that cause of the stone formation could be diagnosed. It includes 24 hour urinary calcium, phosphate and magnesium levels. It will help in dietary advice/restriction to prevent stone formation. Hope it was helpful in reducing your frustration. Regards and best wishes.