<s>[INST] I have sharp pain in my left lower mid ab, hurts to sit more when I walk around. It has been there for over a month. Today it is really bad. I have also been very tired lately and have bad smelling urine for three weeks. Not sure if it relates, but don't know if I should worry about the pain as I had a ct scan and xray of abdomen last month and they said nothing is wrong. So why is the pain getting worse? [/INST] Hi Thanks for your query If the Xray and CT have been normal there are chances you have inflammation of the colonic mucosa, and/or urinary tract infection with or without a radiolucent kidney stone Because you have bad smelling urine chances of a phosphate stone are more or a simple urinary tract infection as phosphate stones are usually not seen on xray but may be seen on CT and ultrasound Get your urine examined for pus cells and crystals, if either is present go for antibiotics and/or analgesices OTC antispasmodics may help Pain is getting worse as the inflammation has not been taken care of Hope this helps Do write back in case of concern Get well soon </s>