<s>[INST] Hi Dr Bhushan, I have a history of multiple kidney stones in both kidneys since 1999. I now have some edema in both lower legs, and some large soft lumps in both my ankles. Does any all three of these symptoms suggest something else going on with my kidneys or can these symptoms be from the stones since there are so many? [/INST] where are the bumps on ankles?do you have any picture or x rays of it.are the painful ?has a stone analysis been done ever?what is your serum uric acid , calcium and phosphorus level ?yes, sometimes kidney stones and painful crystal deposits on joints can be part of same disease like gout and calcium pyrophosphate crystal induced arthropathies.also get your urine test and kidney functions if there is swelling on feet. </s>