<s>[INST] Hello Doctor, my father is having stone in both kidneys(9 mm,4 mm) & he is also diabetic-2 patient.Since last 3 days he is having so much pain in his low right abdominal region.He is taking Buscopan from doctor advice but not getting relief from pain.I want to know that which medicine can be given to him to provide pain relief & can Ultracet {Tramadol with paracetamol} can be given to him? [/INST] HiThe pain you are describing might be because of the stone having dropped into the tube draining from the right kidney. Other causes of pain include appendicitis, muscle strain, hernia etc. In the presence of previous history of stones in kidney the stone is the most likely cause. Hence he will need an urgent CT scan of the kidneys and bladder. For pain relief he can take diclofenac 50 mg thrice daily provided he does not have asthma, ulcer in stomach or kidney failure. Buscopan do not help much in case of pain due to stones. Ultracet can also be taken along with diclofenac. </s>