### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi I am a 40yr old woman who has a constant problem with kidney stones and kidney infections and uti s with blood in my urine sometimes the blood is visible and sometimes its not but the test always shows at e least a trace of blood in my urine it is also very painful most of the time I have lithotripsy surgeries before and I have also been told that I still have reflux that I never grew out of as a child where my kidneys are concerned. I had a physician who I was seeing for this for almost a year and then one day he told that he didn t realize how in depth my being a patient was going to be and that he was actually to busy to be seeing me all the time that I needed to find another physician and ever since then I have been suffering and no that has been almost another year and still nothing no physician near me that I can find. I have insurance so that s not a problem.

### output:

Good Day, and thank you for being with Chat Doctor ! Kidney stones usually cause bleeding whenever they cause abrasion anywhere on the urinary tract. Often times kidney stones harbor bacteria thereby causing urinary tract infection and may cause further bleeding in the urinary tract. The lining of the urinary tract becomes friable and prone to bleeding when infected by bacteria thereby causing more bleeding. For recurrent stones you should have a metabolic workup to determine the risk factors for your kidney stones to prevent further kidney stone formation. Treatment for stones would depend on the stone composition and stone size. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor.  Best wishes.  Manuel C. See IV, M.D. DBU FPGA