Conversation: The conversation between human and AI assistant.
[|Human|] hi, iv been suffering with kidney infections and cystitis on and off for the past 2years iv seen plenty of doctors and had scans and what not done, iv had to try cut alot of alcohol and sugars out of my diet, i take D-Mannose tablets to try prevent it they work but if i forget them even once i get the stinging sensation i woke up early this morning with a random stinging sensation i took my tablets and had bread soda with water and milk to try get rid off it. its very uncomfortable and making me feel nausues the only thing that eases it a bit is sitting on the toilet
[|AI|]  Hello, Welcome to Chat Doctor, You are suffering from what we call recurrent UTI. Since it is recurring frequently you need some investigations to find the cause. You need urine culture, vaginal swab culture, ultrasound of abdomen. Check your blood sugar. You may need an x-ray call voiding cystourethrogram to look for reflux of urine into the kidneys. If everything is normal you may be a person more susceptible for infection because of your genetic make-up. I would like to advise you the following:1. Recheck you infection parameters like Total white blood cell count. You can also get your Urine routine examination done (culture may be done, but it may be negative). A course of antibiotics may be repeated.2. Get your Random Blood sugar levels done.3. If not relieved, you can get a USG of kidney/ureter/bladder done, since stones in the urinary tract can lead to persistent UTI and flank pain. 4.  Chat Doctor.  Avoid using unclean washroom and maintenance of personal hygiene is important. Please consult your physician for further clinical check up and investigations. Thank you.