<s>[INST] I had severe burining pain on my right abdomen which spreads upwards and also at the right back area. when i went to see the doctor i was told to do urine test ant blood test. after the test it was found out that i had pus in my urine ++++++, the test for syphlis was also reactive but a have never had something like sores or any other syptoms of primary and secondary syphlis. what is the relationship between pus cells in the urine, pain at my right side and syphlis. [/INST] Hi.Thanks for your query and an elucidate history. The relationship between the pus cells, pain in the right side of abdomen which spreads upwards and also at the right back and syphilis.First of all, the presence of so many pus cells in the urine with the symptoms you have indicates that you are suffering from Pyelonephritis of the right Kidney. Meaning there is infection of the Kidney with an active infection producing pus . This is the reason you are getting the pain spreading up on the right side of abdomen and back. You should undergo further tests : First of all you have to send the sample of Urine for culture ans sensitivity before starting the antibiotic therapy to get appropriate results. Blood for Raised WBC, sugar, and blood culture and sensitivity.Ultrasonography.Get admitted.Intravenous fluids and antibiotics.Repeat the test for Syphilis, It may be negative. </s>